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California rates for MS-DRG 981

Extensive O.R. procedure unrelated to principal diagnosis w MCC

Facilitymedian $112,202 · 10th–90th $10,233–$199,5260%20%10th90th$112,202$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 / $100,000.00 / $204,173.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $117,489.76 / $199,526.23
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $75,857.76 / $162,181.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63,095.73 / $95,499.26 / $165,958.69
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
$169,824.37 / $169,824.37 / $169,824.37
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $104,712.85 / $190,546.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $85,113.80 / $181,970.09