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California rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Facilitymedian $67,608 · 10th–90th $12,882–$134,8960%10%10th90th$67,608$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
$35,481.34 / $67,608.30 / $141,253.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $69,183.10 / $134,896.29
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $56,234.13 / $120,226.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $57,543.99 / $114,815.36
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
$114,815.36 / $114,815.36 / $114,815.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $63,095.73 / $128,824.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $56,234.13 / $125,892.54