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New Jersey rates for MS-DRG 467

Revision of hip or knee replacement w CC

Facilitymedian $85,114 · 10th–90th $44,668$114,8150%10%10th90th$85,114$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
$48,977.88 / $85,113.80 / $114,815.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $85,113.80 / $112,201.85
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70,794.58 / $70,794.58 / $70,794.58
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $74,131.02 / $114,815.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $21,379.62 / $97,723.72