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California rates for MS-DRG 496

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

Facilitymedian $69,183 · 10th–90th $16,982$77,6250%20%40%10th90th$69,183$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
$23,442.29 / $46,773.51 / $79,432.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $72,443.60 / $77,624.71
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $37,153.52 / $83,176.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $37,153.52 / $81,283.05
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
$64,565.42 / $64,565.42 / $64,565.42
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $45,708.82 / $83,176.38
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $46,773.51 / $46,773.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $35,481.34 / $75,857.76