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Texas rates for MS-DRG 466

Revision of hip or knee replacement w MCC

Facilitymedian $64,565 · 10th–90th $26,915$123,0270%5%10th90th$64,565$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
$23,442.29 / $75,857.76 / $120,226.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $54,954.09 / $112,201.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $77,624.71 / $162,181.01
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186,208.71 / $186,208.71 / $186,208.71
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $57,543.99 / $120,226.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $66,069.34 / $169,824.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $47,863.01 / $104,712.85