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California rates for MS-DRG 987

Non-extensive O.R. proc unrelated to principal diagnosis w MCC

Facilitymedian $83,176 · 10th–90th $10,233–$144,5440%20%10th90th$83,176$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
$40,738.03 / $79,432.82 / $151,356.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $85,113.80 / $144,543.98
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $56,234.13 / $120,226.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $69,183.10 / $123,026.88
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
$123,026.88 / $123,026.88 / $123,026.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $69,183.10 / $138,038.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $63,095.73 / $134,896.29