go back

California rates for MS-DRG 856

Postoperative Or Post-Traumatic Infections With O.R. Procedures With 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 / $114,815.36 / $190,546.07
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $72,443.60 / $162,181.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61,659.50 / $93,325.43 / $162,181.01
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
$162,181.01 / $162,181.01 / $162,181.01
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63,095.73 / $102,329.30 / $181,970.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $83,176.38 / $177,827.94