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Oregon rates for MS-DRG 466

Revision of hip or knee replacement w MCC

Facilitymedian $123,027 · 10th–90th $69,183–$186,2090%10%20%10th90th$123,027$200.0$1.0K$5.0K$20.0K$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
$123,026.88 / $144,543.98 / $288,403.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $125,892.54 / $186,208.71
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $104,712.85 / $165,958.69
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $87,096.36 / $97,723.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85,113.80 / $117,489.76 / $186,208.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70,794.58 / $100,000.00 / $138,038.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $117,489.76 / $141,253.75