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California rates for MS-DRG 492

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc

Facilitymedian $75,858 · 10th–90th $30,903–$131,8260%20%40%10th90th$75,858$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
$39,810.72 / $77,624.71 / $154,881.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $75,857.76 / $131,825.67
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $58,884.37 / $100,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $74,131.02 / $128,824.96
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
$131,825.67 / $131,825.67 / $131,825.67
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $81,283.05 / $131,825.67
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $45,708.82 / $45,708.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $40,738.03 / $112,201.85