go back

Idaho rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $72,444 · 10th–90th $48,978–$138,0380%10%20%10th90th$72,444$20.0K$50.0K$100.0K

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
$48,977.88 / $48,977.88 / $48,977.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $74,131.02 / $141,253.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131,825.67 / $147,910.84 / $181,970.09
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $89,125.09 / $125,892.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61,659.50 / $87,096.36 / $141,253.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $77,624.71 / $81,283.05