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California rates for MS-DRG 488

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

Facilitymedian $41,687 · 10th–90th $14,791$74,1310%10%10th90th$41,687$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
$20,417.38 / $38,018.94 / $77,624.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $42,657.95 / $74,131.02
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $33,113.11 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $33,884.42 / $63,095.73
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
$63,095.73 / $63,095.73 / $63,095.73
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $35,481.34 / $70,794.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $34,673.69 / $69,183.10