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California rates for MS-DRG 456

Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Mcc

Facilitymedian $208,930 · 10th–90th $31,623–$301,9950%20%10th90th$208,930$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
$31,622.78 / $112,201.85 / $288,403.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $251,188.64 / $301,995.17
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $109,647.82 / $323,593.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $141,253.75 / $301,995.17
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$301,995.17 / $301,995.17 / $301,995.17
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $147,910.84 / $316,227.77
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162,181.01 / $162,181.01 / $162,181.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $75,857.76 / $263,026.80