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Texas rates for MS-DRG 467

Revision of hip or knee replacement w CC

Facilitymedian $43,652 · 10th–90th $19,953–$85,1140%5%10%10th90th$43,652$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
$20,417.38 / $51,286.14 / $83,176.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $37,153.52 / $75,857.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $52,480.75 / $107,151.93
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125,892.54 / $125,892.54 / $125,892.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $36,307.81 / $83,176.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $44,668.36 / $114,815.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $34,673.69 / $89,125.09