go back

California rates for MS-DRG 420

Hepatobiliary Diagnostic Procedures With Mcc

Facilitymedian $83,176 · 10th–90th $10,233$144,5440%20%10th90th$83,176$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
$39,810.72 / $79,432.82 / $147,910.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $85,113.80 / $144,543.98
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $56,234.13 / $120,226.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $69,183.10 / $123,026.88
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
$123,026.88 / $123,026.88 / $123,026.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $77,624.71 / $141,253.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $63,095.73 / $131,825.67