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California rates for MS-DRG 516

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

Facilitymedian $45,709 · 10th–90th $26,915–$75,8580%20%40%10th90th$45,709$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
$30,199.52 / $52,480.75 / $77,624.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $45,708.82 / $75,857.76
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $34,673.69 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $39,810.72 / $69,183.10
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
$74,131.02 / $74,131.02 / $74,131.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $42,657.95 / $74,131.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $41,686.94 / $72,443.60