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California rates for MS-DRG 535

Fractures Of Hip And Pelvis With Mcc

Facilitymedian $32,359 · 10th–90th $16,596–$54,9540%10%10th90th$32,359$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
$15,135.61 / $29,512.09 / $56,234.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $32,359.37 / $53,703.18
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $23,442.29 / $44,668.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $26,302.68 / $45,708.82
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
$45,708.82 / $45,708.82 / $45,708.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $28,183.83 / $51,286.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $23,442.29 / $50,118.72