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Oregon rates for MS-DRG 467

Revision of hip or knee replacement w CC

Facilitymedian $83,176 · 10th–90th $45,709–$125,8930%10%10th90th$83,176$200.0$1.0K$5.0K$20.0K$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
$83,176.38 / $97,723.72 / $194,984.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $85,113.80 / $125,892.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $70,794.58 / $112,201.85
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $58,884.37 / $77,624.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $79,432.82 / $125,892.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $67,608.30 / $93,325.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $77,624.71 / $95,499.26