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California rates for MS-DRG 537

Sprains, strains, & dislocations of hip, pelvis & thigh w CC/MCC

Facilitymedian $23,988 · 10th–90th $12,303$40,7380%10%20%10th90th$23,988$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
$11,220.18 / $22,387.21 / $41,686.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $23,988.33 / $39,810.72
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $15,488.17 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $19,498.45 / $33,884.42
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
$33,884.42 / $33,884.42 / $33,884.42
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $20,892.96 / $38,018.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $17,378.01 / $37,153.52