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California rates for MS-DRG 480

Hip & femur procedures except major joint w MCC

Facilitymedian $85,114 · 10th–90th $27,542–$104,7130%20%40%10th90th$85,114$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 / $74,131.02 / $123,026.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $85,113.80 / $104,712.85
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $53,703.18 / $107,151.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $57,543.99 / $104,712.85
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
$104,712.85 / $104,712.85 / $104,712.85
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $66,069.34 / $107,151.93
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $53,703.18 / $53,703.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $57,543.99 / $114,815.36