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California rates for MS-DRG 428

Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc

Facilitymedian $95,499 · 10th–90th $29,512–$199,5260%10%10th90th$95,499$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
$33,884.42 / $97,723.72 / $190,546.07
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $194,984.46 / $223,872.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $107,151.93 / $204,173.79
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $114,815.36 / $208,929.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $60,255.96 / $199,526.23