go back

Wisconsin rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $100,000 · 10th–90th $56,234–$144,5440%10%10th90th$100,000$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
$83,176.38 / $97,723.72 / $102,329.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $104,712.85 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $89,125.09 / $154,881.66
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72,443.60 / $83,176.38 / $104,712.85
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $89,125.09 / $158,489.32
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $63,095.73 / $83,176.38
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91,201.08 / $114,815.36 / $117,489.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $93,325.43 / $128,824.96