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California rates for MS-DRG 269

Aortic and heart assist procedures except pulsation balloon w/o MCC

Facilitymedian $104,713 · 10th–90th $42,658–$151,3560%20%40%10th90th$104,713$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
$38,018.94 / $89,125.09 / $134,896.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $104,712.85 / $151,356.12
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $67,608.30 / $138,038.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $83,176.38 / $134,896.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $213.80 / $67,608.30
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151,356.12 / $151,356.12 / $151,356.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $87,096.36 / $147,910.84
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $67,608.30 / $67,608.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $64,565.42 / $123,026.88