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South Carolina rates for MS-DRG 462

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

Facilitymedian $46,774 · 10th–90th $30,200–$104,7130%10%10th90th$46,774$5.0K$10.0K$20.0K$50.0K$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
$32,359.37 / $46,773.51 / $104,712.85
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $47,863.01 / $75,857.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $46,773.51 / $79,432.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $60,255.96 / $93,325.43