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New York rates for MS-DRG 467

Revision of hip or knee replacement w CC

Facilitymedian $85,114 · 10th–90th $33,884–$138,0380%10%10th90th$85,114$2.0K$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
$28,183.83 / $74,131.02 / $138,038.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72,443.60 / $112,201.85 / $144,543.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63,095.73 / $97,723.72 / $125,892.54
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $87,096.36 / $218,776.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $35,481.34 / $35,481.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $74,131.02 / $125,892.54