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California rates for MS-DRG 423

Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc

Facilitymedian $100,000 · 10th–90th $10,233–$173,7800%20%10th90th$100,000$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
$48,977.88 / $95,499.26 / $181,970.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $104,712.85 / $173,780.08
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $64,565.42 / $147,910.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $85,113.80 / $147,910.84
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
$147,910.84 / $147,910.84 / $147,910.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $95,499.26 / $173,780.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $75,857.76 / $162,181.01