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Illinois rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $66,069 · 10th–90th $41,687–$97,7240%20%10th90th$66,069$100.0$500.0$2.0K$10.0K$50.0K

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
$51,286.14 / $70,794.58 / $107,151.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $61,659.50 / $87,096.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $60,255.96 / $109,647.82
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $676.08 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $63,095.73 / $97,723.72