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Pennsylvania rates for MS-DRG 467

Revision of hip or knee replacement w CC

Facilitymedian $54,954 · 10th–90th $27,542$81,2830%10%10th90th$54,954$2.0K$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
$31,622.78 / $57,543.99 / $83,176.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $64,565.42 / $97,723.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $56,234.13 / $74,131.02
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61,659.50 / $61,659.50 / $75,857.76
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $57,543.99 / $69,183.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $51,286.14 / $70,794.58
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $53,703.18 / $79,432.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $27,542.29 / $40,738.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $44,668.36 / $83,176.38