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California rates for MS-DRG 513

Hand or wrist proc, except major thumb or joint proc w CC/MCC

Facilitymedian $38,905 · 10th–90th $19,953–$57,5440%20%10th90th$38,905$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
$19,054.61 / $36,307.81 / $67,608.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $39,810.72 / $57,543.99
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $28,183.83 / $52,480.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $34,673.69 / $56,234.13
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
$56,234.13 / $56,234.13 / $56,234.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $38,018.94 / $63,095.73
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $23,988.33 / $23,988.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $31,622.78 / $61,659.50