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California rates for MS-DRG 969

HIV w extensive O.R. procedure w MCC

Facilitymedian $147,911 · 10th–90th $10,233–$257,0400%20%10th90th$147,911$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
$72,443.60 / $141,253.75 / $269,153.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $151,356.12 / $257,039.58
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $95,499.26 / $213,796.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $125,892.54 / $218,776.16
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
$218,776.16 / $218,776.16 / $218,776.16
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85,113.80 / $134,896.29 / $245,470.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $112,201.85 / $239,883.29