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California rates for MS-DRG 474

Amputation for musculoskeletal sys & conn tissue dis w MCC

Facilitymedian $104,713 · 10th–90th $10,233–$181,9700%20%10th90th$104,713$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
$50,118.72 / $100,000.00 / $186,208.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $107,151.93 / $181,970.09
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $72,443.60 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $85,113.80 / $154,881.66
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
$154,881.66 / $154,881.66 / $154,881.66
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $89,125.09 / $173,780.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $79,432.82 / $165,958.69