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Oregon rates for MS-DRG 462

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

Facilitymedian $63,096 · 10th–90th $38,905–$104,7130%20%10th90th$63,096$200.0$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
$63,095.73 / $72,443.60 / $147,910.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $64,565.42 / $104,712.85
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $56,234.13 / $85,113.80
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $50,118.72 / $61,659.50
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $66,069.34 / $102,329.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $54,954.09 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $60,255.96 / $72,443.60