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California rates for MS-DRG 799

Splenic procedures w MCC

Facilitymedian $109,648 · 10th–90th $10,233$190,5460%10%20%10th90th$109,648$100.0$500.0$2.0K$10.0K$50.0K$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
$53,703.18 / $104,712.85 / $199,526.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $112,201.85 / $190,546.07
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $75,857.76 / $177,827.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $93,325.43 / $162,181.01
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $302.00
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162,181.01 / $162,181.01 / $162,181.01
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $102,329.30 / $190,546.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $83,176.38 / $177,827.94