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Washington rates for MS-DRG 397

Appendix procedures w MCC

Facilitymedian $58,884 · 10th–90th $39,811–$100,0000%10%20%10th90th$58,884$5.0K$10.0K$20.0K$50.0K$100.0K

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
$39,810.72 / $61,659.50 / $128,824.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $51,286.14 / $79,432.82
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $41,686.94 / $43,651.58
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $48,977.88 / $70,794.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $53,703.18 / $75,857.76