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California rates for MS-DRG 467

Revision of hip or knee replacement w CC

Facilitymedian $87,096 · 10th–90th $28,184–$123,0270%20%10th90th$87,096$100.0$500.0$2.0K$10.0K$50.0K$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
$28,840.32 / $64,565.42 / $125,892.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $112,201.85 / $120,226.44
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $56,234.13 / $131,825.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $60,255.96 / $134,896.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $199.53 / $346.74
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125,892.54 / $125,892.54 / $125,892.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $66,069.34 / $138,038.43
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72,443.60 / $72,443.60 / $72,443.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $42,657.95 / $114,815.36