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Ohio rates for MS-DRG 409

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

Facilitymedian $30,200 · 10th–90th $19,498–$42,6580%10%10th90th$30,200$5.0K$10.0K$20.0K$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
$22,387.21 / $31,622.78 / $48,977.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $26,915.35 / $40,738.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $33,884.42 / $48,977.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $28,183.83 / $50,118.72
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $22,387.21 / $34,673.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $30,902.95 / $48,977.88