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California rates for MS-DRG 421

Hepatobiliary diagnostic procedures w CC

Facilitymedian $42,658 · 10th–90th $10,233$72,4440%10%20%10th90th$42,658$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
$20,417.38 / $40,738.03 / $75,857.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $43,651.58 / $72,443.60
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $26,915.35 / $61,659.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $35,481.34 / $61,659.50
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
$63,095.73 / $63,095.73 / $63,095.73
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $39,810.72 / $72,443.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $31,622.78 / $67,608.30