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Oregon rates for MS-DRG 456

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

Facilitymedian $199,526 · 10th–90th $100,000–$309,0300%20%10th90th$199,526$200.0$1.0K$5.0K$20.0K$100.0K$500.0K

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
$199,526.23 / $229,086.77 / $467,735.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123,026.88 / $204,173.79 / $309,029.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134,896.29 / $169,824.37 / $263,026.80
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97,723.72 / $100,000.00 / $100,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141,253.75 / $194,984.46 / $301,995.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117,489.76 / $162,181.01 / $223,872.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72,443.60 / $190,546.07 / $229,086.77