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California rates for MS-DRG 499

Local excision & removal int fix devices of hip & femur w/o CC/MCC

Facilitymedian $51,286 · 10th–90th $16,982–$72,4440%50%10th90th$51,286$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
$26,302.68 / $50,118.72 / $85,113.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $54,954.09 / $72,443.60
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $22,387.21 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $38,018.94 / $66,069.34
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
$26,915.35 / $45,708.82 / $70,794.58
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $33,113.11 / $33,113.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $40,738.03 / $79,432.82