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Wisconsin rates for MS-DRG 466

Revision of hip or knee replacement w MCC

Facilitymedian $93,325 · 10th–90th $52,481–$134,8960%10%10th90th$93,325$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
$77,624.71 / $93,325.43 / $95,499.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $100,000.00 / $144,543.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $89,125.09 / $147,910.84
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $77,624.71 / $100,000.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $85,113.80 / $151,356.12
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $60,255.96 / $77,624.71
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85,113.80 / $107,151.93 / $112,201.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $87,096.36 / $123,026.88