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New York rates for MS-DRG 462

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

Facilitymedian $66,069 · 10th–90th $25,704–$104,7130%5%10%10th90th$66,069$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$21,379.62 / $56,234.13 / $104,712.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $83,176.38 / $109,647.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $75,857.76 / $102,329.30
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $67,608.30 / $165,958.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $60,255.96 / $102,329.30