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Washington rates for MS-DRG 515

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

Facilitymedian $77,625 · 10th–90th $46,774–$131,8260%10%20%10th90th$77,625$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
$53,703.18 / $81,283.05 / $173,780.08
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $56,234.13 / $77,624.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $69,183.10 / $104,712.85
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $53,703.18 / $60,255.96
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $58,884.37 / $89,125.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $61,659.50 / $83,176.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $63,095.73 / $91,201.08