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Texas rates for MS-DRG 462

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

Facilitymedian $36,308 · 10th–90th $19,498$66,0690%10%10th90th$36,308$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
$23,442.29 / $38,018.94 / $61,659.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $31,622.78 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $43,651.58 / $83,176.38
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95,499.26 / $95,499.26 / $95,499.26
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $31,622.78 / $61,659.50
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $34,673.69 / $87,096.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $26,915.35 / $58,884.37