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Kansas rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $56,234 · 10th–90th $28,840–$85,1140%10%20%10th90th$56,234$10.0K$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
$24,547.09 / $56,234.13 / $69,183.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $51,286.14 / $85,113.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $63,095.73 / $97,723.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $58,884.37 / $123,026.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $51,286.14 / $100,000.00