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Wisconsin rates for MS-DRG 462

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

Facilitymedian $47,863 · 10th–90th $26,915–$69,1830%10%10th90th$47,863$500.0$2.0K$10.0K$50.0K

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
$39,810.72 / $47,863.01 / $48,977.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $51,286.14 / $74,131.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $42,657.95 / $74,131.02
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $39,810.72 / $51,286.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $45,708.82 / $66,069.34
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $30,902.95 / $39,810.72
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $54,954.09 / $56,234.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $46,773.51 / $69,183.10