go back

California rates for MS-DRG 493

Lower extrem & humer proc except hip, foot, femur w CC

Facilitymedian $48,978 · 10th–90th $29,512$91,2010%20%10th90th$48,978$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
$33,113.11 / $51,286.14 / $107,151.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $48,977.88 / $91,201.08
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $39,810.72 / $74,131.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $50,118.72 / $89,125.09
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
$91,201.08 / $91,201.08 / $91,201.08
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $56,234.13 / $91,201.08
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $29,512.09 / $29,512.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $36,307.81 / $77,624.71