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California rates for MS-DRG 409

Biliary tract proc except only cholecyst w or w/o c.d.e. w CC

Facilitymedian $53,703 · 10th–90th $10,233$91,2010%20%10th90th$53,703$100.0$500.0$2.0K$10.0K$50.0K

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
$25,703.96 / $50,118.72 / $95,499.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $54,954.09 / $91,201.08
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $41,686.94 / $74,131.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $44,668.36 / $77,624.71
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
$77,624.71 / $77,624.71 / $77,624.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $50,118.72 / $91,201.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $39,810.72 / $85,113.80