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California rates for MS-DRG 425

Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc

Facilitymedian $37,154 · 10th–90th $10,233–$63,0960%10%20%10th90th$37,154$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
$17,782.79 / $34,673.69 / $66,069.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $37,153.52 / $63,095.73
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $28,840.32 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $30,902.95 / $53,703.18
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
$53,703.18 / $53,703.18 / $53,703.18
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $33,884.42 / $60,255.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $27,542.29 / $58,884.37