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Washington rates for MS-DRG 466

Revision of hip or knee replacement w MCC

Facilitymedian $125,893 · 10th–90th $75,858–$213,7960%10%10th90th$125,893$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
$87,096.36 / $131,825.67 / $281,838.29
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $93,325.43 / $125,892.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $112,201.85 / $169,824.37
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $87,096.36 / $93,325.43
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $95,499.26 / $147,910.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $102,329.30 / $138,038.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $102,329.30 / $147,910.84