go back

Ohio rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $75,858 · 10th–90th $40,738–$117,4900%10%10th90th$75,858$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
$56,234.13 / $79,432.82 / $123,026.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $72,443.60 / $112,201.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $87,096.36 / $125,892.54
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $72,443.60 / $128,824.96
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $57,543.99 / $89,125.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $70,794.58 / $117,489.76