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California rates for MS-DRG 495

Local excision & removal int fix devices exc hip & femur w MCC

Facilitymedian $85,114 · 10th–90th $33,884–$131,8260%50%10th90th$85,114$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
$46,773.51 / $83,176.38 / $154,881.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $85,113.80 / $131,825.67
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $64,565.42 / $104,712.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $72,443.60 / $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
$128,824.96 / $128,824.96 / $128,824.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $89,125.09 / $128,824.96
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $51,286.14 / $51,286.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $70,794.58 / $141,253.75