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California rates for MS-DRG 458

Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/Mcc

Facilitymedian $112,202 · 10th–90th $28,840–$269,1530%20%10th90th$112,202$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
$28,840.32 / $70,794.58 / $245,470.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $151,356.12 / $269,153.48
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $70,794.58 / $269,153.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $72,443.60 / $177,827.94
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
$151,356.12 / $151,356.12 / $151,356.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $79,432.82 / $295,120.92
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 / $56,234.13 / $165,958.69