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California rates for MS-DRG 564

Other musculoskeletal sys & connective tissue diagnoses w MCC

Facilitymedian $38,905 · 10th–90th $19,953$66,0690%10%20%10th90th$38,905$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
$18,197.01 / $35,481.34 / $67,608.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $38,904.51 / $64,565.42
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $25,118.86 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $31,622.78 / $54,954.09
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
$54,954.09 / $54,954.09 / $54,954.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $34,673.69 / $61,659.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $28,183.83 / $60,255.96