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New York rates for MS-DRG 466

Revision of hip or knee replacement w MCC

Facilitymedian $128,825 · 10th–90th $45,709$204,1740%10%10th90th$128,825$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
$37,153.52 / $107,151.93 / $204,173.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107,151.93 / $165,958.69 / $213,796.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93,325.43 / $144,543.98 / $186,208.71
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72,443.60 / $128,824.96 / $323,593.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $107,151.93 / $177,827.94