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California rates for MS-DRG 466

Revision of hip or knee replacement w MCC

Facilitymedian $100,000 · 10th–90th $28,840–$144,5440%20%10th90th$100,000$100.0$500.0$2.0K$10.0K$50.0K$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
$28,840.32 / $79,432.82 / $162,181.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $100,000.00 / $144,543.98
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $81,283.05 / $138,038.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $89,125.09 / $162,181.01
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $199.53 / $346.74
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186,208.71 / $186,208.71 / $186,208.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $97,723.72 / $186,208.71
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $64,565.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $51,286.14 / $154,881.66