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Ohio rates for MS-DRG 515

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

Facilitymedian $43,652 · 10th–90th $28,840–$63,0960%10%10th90th$43,652$5.0K$10.0K$20.0K$50.0K$100.0K

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
$32,359.37 / $45,708.82 / $70,794.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $38,904.51 / $60,255.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $50,118.72 / $72,443.60
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $41,686.94 / $74,131.02
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $33,113.11 / $51,286.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $44,668.36 / $70,794.58