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Colorado rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $128,825 · 10th–90th $69,183–$199,5260%20%10th90th$128,825$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
$66,069.34 / $138,038.43 / $165,958.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87,096.36 / $134,896.29 / $239,883.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $85,113.80 / $131,825.67
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $89,125.09 / $141,253.75