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California rates for MS-DRG 494

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc

Facilitymedian $36,308 · 10th–90th $18,621$72,4440%20%40%10th90th$36,308$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
$25,703.96 / $39,810.72 / $85,113.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $36,307.81 / $72,443.60
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $30,902.95 / $60,255.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $37,153.52 / $70,794.58
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
$72,443.60 / $72,443.60 / $72,443.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $37,153.52 / $74,131.02
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $21,877.62 / $21,877.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $27,542.29 / $61,659.50