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Virginia rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $89,125 · 10th–90th $44,668$123,0270%10%10th90th$89,125$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
$48,977.88 / $91,201.08 / $112,201.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $95,499.26 / $141,253.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $87,096.36 / $134,896.29
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $81,283.05 / $123,026.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $64,565.42 / $147,910.84