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Pennsylvania rates for MS-DRG 466

Revision of hip or knee replacement w MCC

Facilitymedian $81,283 · 10th–90th $40,738$120,2260%10%10th90th$81,283$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$46,773.51 / $85,113.80 / $123,026.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $97,723.72 / $144,543.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $77,624.71 / $109,647.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91,201.08 / $91,201.08 / $112,201.85
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $85,113.80 / $102,329.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $89,125.09 / $162,181.01
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $79,432.82 / $117,489.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $41,686.94 / $72,443.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $66,069.34 / $123,026.88