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California rates for MS-DRG 970

HIV w extensive O.R. procedure w/o MCC

Facilitymedian $64,565 · 10th–90th $10,233–$112,2020%20%10th90th$64,565$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
$30,902.95 / $61,659.50 / $114,815.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $66,069.34 / $112,201.85
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $42,657.95 / $93,325.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $53,703.18 / $95,499.26
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
$95,499.26 / $95,499.26 / $95,499.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $60,255.96 / $112,201.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $47,863.01 / $102,329.30