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Oregon rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $128,825 · 10th–90th $70,795–$223,8720%20%10th90th$128,825$200.0$1.0K$5.0K$20.0K$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
$128,824.96 / $151,356.12 / $309,029.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81,283.05 / $131,825.67 / $218,776.16
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89,125.09 / $112,201.85 / $173,780.08
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $87,096.36 / $100,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102,329.30 / $138,038.43 / $218,776.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85,113.80 / $123,026.88 / $181,970.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $123,026.88 / $151,356.12