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Missouri rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $60,256 · 10th–90th $24,547–$97,7240%10%20%10th90th$60,256$5.0K$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
$53,703.18 / $60,255.96 / $77,624.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $60,255.96 / $102,329.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151,356.12 / $151,356.12 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $61,659.50 / $102,329.30
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $66,069.34 / $104,712.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $60,255.96 / $79,432.82