go back

California rates for MS-DRG 498

Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc

Facilitymedian $57,544 · 10th–90th $28,184–$109,6480%20%40%10th90th$57,544$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
$38,904.51 / $61,659.50 / $128,824.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $57,543.99 / $109,647.82
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $44,668.36 / $79,432.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $58,884.37 / $100,000.00
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
$107,151.93 / $107,151.93 / $107,151.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $66,069.34 / $107,151.93
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $34,673.69 / $34,673.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $54,954.09 / $117,489.76