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Upper Limb and Toe Amputation, Circulatory (with MCC)

California rates for MS-DRG 255

Upper Limb and Toe Amputation for Circulatory System Disorders with MCC

Rates data updated July 2026.

How much does Upper Limb and Toe Amputation, Circulatory (with MCC) cost?

$66,069

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $66,069 for this service. Most negotiated rates run $40,738 to $91,201.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $66,069 · 10th to 90th $10,715 to $114,815
$200$1K$5K$20K$100Kfacility $66,069

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$63,095.73
Typical High
$114,815.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$67,608.30
Typical High
$114,815.36
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$40,738.03
Typical High
$93,325.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$54,954.09
Typical High
$95,499.26
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$97,723.72
Median
$97,723.72
Typical High
$97,723.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$54,954.09
Typical High
$107,151.93
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$47,863.01
Typical High
$104,712.85

Where California sits

The same service costs 3.5 times more in Montana than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 4th of 51

$66,069

MT $75,858MI $21,380

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.