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California rates for MS-DRG 405

Pancreas, liver & shunt procedures w MCC

Facilitymedian $169,824 · 10th–90th $66,069$208,9300%20%40%10th90th$169,824$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
$63,095.73 / $141,253.75 / $234,422.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77,624.71 / $169,824.37 / $199,526.23
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $89,125.09 / $213,796.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $117,489.76 / $194,984.46
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
$194,984.46 / $194,984.46 / $194,984.46
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77,624.71 / $141,253.75 / $218,776.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $109,647.82 / $213,796.21