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California rates for MS-DRG 481

Hip And Femur Procedures Except Major Joint With Cc

Facilitymedian $75,858 · 10th–90th $25,704$91,2010%20%40%10th90th$75,858$100.0$500.0$2.0K$10.0K$50.0K

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
$23,988.33 / $53,703.18 / $95,499.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $85,113.80 / $91,201.08
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $36,307.81 / $97,723.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $40,738.03 / $93,325.43
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
$75,857.76 / $75,857.76 / $75,857.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $47,863.01 / $104,712.85
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 / $41,686.94 / $89,125.09