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Ohio rates for MS-DRG 462

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

Facilitymedian $40,738 · 10th–90th $25,704–$60,2560%10%10th90th$40,738$5.0K$10.0K$20.0K$50.0K

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
$27,542.29 / $43,651.58 / $61,659.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $38,018.94 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $41,686.94 / $60,255.96
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $34,673.69 / $61,659.50
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $27,542.29 / $42,657.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $38,018.94 / $61,659.50