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California rates for MS-DRG 515

Other musculoskelet sys & conn tiss O.R. proc w MCC

Facilitymedian $77,625 · 10th–90th $13,804$134,8960%10%10th90th$77,625$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
$37,153.52 / $60,255.96 / $117,489.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $79,432.82 / $134,896.29
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $51,286.14 / $109,647.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $54,954.09 / $104,712.85
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
$114,815.36 / $114,815.36 / $114,815.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $60,255.96 / $128,824.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $56,234.13 / $123,026.88