go back

California rates for MS-DRG 497

Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc

Facilitymedian $40,738 · 10th–90th $12,882–$46,7740%20%40%10th90th$40,738$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
$15,488.17 / $31,622.78 / $51,286.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $40,738.03 / $43,651.58
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $23,988.33 / $52,480.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $29,512.09 / $50,118.72
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
$43,651.58 / $43,651.58 / $43,651.58
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $32,359.37 / $51,286.14
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $26,302.68 / $26,302.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $23,988.33 / $46,773.51