go back

California rates for MS-DRG 255

Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc

Facilitymedian $64,565 · 10th–90th $10,233–$114,8150%20%10th90th$64,565$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $63,095.73 / $117,489.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $67,608.30 / $114,815.36
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $40,738.03 / $93,325.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $53,703.18 / $95,499.26
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97,723.72 / $97,723.72 / $97,723.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $54,954.09 / $107,151.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $48,977.88 / $104,712.85