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California rates for MS-DRG 462

Bilateral or multiple major joint procs of lower extremity w/o MCC

Facilitymedian $67,608 · 10th–90th $23,442$141,2540%20%10th90th$67,608$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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
$25,118.86 / $56,234.13 / $114,815.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $95,499.26 / $141,253.75
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $46,773.51 / $123,026.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $50,118.72 / $112,201.85
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $199.53 / $346.74
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95,499.26 / $95,499.26 / $95,499.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $53,703.18 / $144,543.98
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85,113.80 / $85,113.80 / $85,113.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $41,686.94 / $104,712.85