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Ohio rates for MS-DRG 467

Revision of hip or knee replacement w CC

Facilitymedian $50,119 · 10th–90th $30,903–$75,8580%10%10th90th$50,119$5.0K$10.0K$20.0K$50.0K$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
$38,904.51 / $51,286.14 / $75,857.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $45,708.82 / $70,794.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $54,954.09 / $79,432.82
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $50,118.72 / $81,283.05
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $36,307.81 / $56,234.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $45,708.82 / $77,624.71