go back

California rates for MS-DRG 562

Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC

Facilitymedian $35,481 · 10th–90th $18,621$60,2560%10%10th90th$35,481$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
$16,595.87 / $33,113.11 / $61,659.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $35,481.34 / $60,255.96
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $23,442.29 / $51,286.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $28,840.32 / $51,286.14
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
$51,286.14 / $51,286.14 / $51,286.14
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $30,902.95 / $57,543.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $26,302.68 / $56,234.13