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Tennessee rates for MS-DRG 462

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

Facilitymedian $35,481 · 10th–90th $21,878–$66,0690%5%10%10th90th$35,481$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
$21,877.62 / $23,988.33 / $66,069.34
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $40,738.03 / $61,659.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $32,359.37 / $43,651.58
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95,499.26 / $95,499.26 / $95,499.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $37,153.52 / $54,954.09