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Massachusetts rates for MS-DRG 467

Revision of hip or knee replacement w CC

Facilitymedian $50,119 · 10th–90th $23,988–$91,2010%10%10th90th$50,119$500.0$2.0K$10.0K$50.0K

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
$23,988.33 / $54,954.09 / $91,201.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $50,118.72 / $134,896.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $56,234.13 / $79,432.82
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $501.19 / $75,857.76
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $50,118.72 / $134,896.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $50,118.72 / $134,896.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $40,738.03 / $104,712.85