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Washington rates for MS-DRG 462

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

Facilitymedian $64,565 · 10th–90th $42,658–$109,6480%10%20%10th90th$64,565$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
$44,668.36 / $67,608.30 / $144,543.98
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $51,286.14 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $57,543.99 / $87,096.36
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $48,977.88 / $61,659.50
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $53,703.18 / $83,176.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $56,234.13 / $77,624.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $52,480.75 / $77,624.71