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California rates for MS-DRG 422

Hepatobiliary diagnostic procedures w/o CC/MCC

Facilitymedian $34,674 · 10th–90th $10,233$58,8840%10%20%10th90th$34,674$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
$16,595.87 / $32,359.37 / $61,659.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $34,673.69 / $58,884.37
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $23,442.29 / $51,286.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $28,840.32 / $50,118.72
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
$50,118.72 / $50,118.72 / $50,118.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $31,622.78 / $57,543.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $25,703.96 / $54,954.09