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Ohio rates for MS-DRG 564

Other musculoskeletal sys & connective tissue diagnoses w MCC

Facilitymedian $21,380 · 10th–90th $13,490–$31,6230%10%10th90th$21,380$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$15,848.93 / $22,387.21 / $34,673.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $19,054.61 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $19,498.45 / $35,481.34
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $19,054.61 / $35,481.34
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $16,218.10 / $24,547.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $21,877.62 / $34,673.69