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Texas rates for MS-DRG 515

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

Facilitymedian $38,905 · 10th–90th $20,893–$74,1310%10%10th90th$38,905$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$29,512.09 / $45,708.82 / $74,131.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $32,359.37 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $47,863.01 / $89,125.09
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114,815.36 / $114,815.36 / $114,815.36
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $38,904.51 / $74,131.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $39,810.72 / $95,499.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $32,359.37 / $67,608.30