go back

Tennessee rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $54,954 · 10th–90th $29,512$128,8250%10%10th90th$54,954$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
$21,877.62 / $50,118.72 / $138,038.43
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $51,286.14 / $81,283.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $67,608.30 / $89,125.09
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199,526.23 / $199,526.23 / $199,526.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $61,659.50 / $109,647.82