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California rates for MS-DRG 487

Knee procedures w pdx of infection w/o CC/MCC

Facilitymedian $38,905 · 10th–90th $12,882–$67,6080%20%10th90th$38,905$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
$18,197.01 / $35,481.34 / $69,183.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $38,904.51 / $67,608.30
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $29,512.09 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $30,902.95 / $54,954.09
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
$56,234.13 / $56,234.13 / $56,234.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $34,673.69 / $66,069.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $31,622.78 / $61,659.50