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Washington rates for MS-DRG 467

Revision of hip or knee replacement w CC

Facilitymedian $85,114 · 10th–90th $45,709–$144,5440%10%10th90th$85,114$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
$58,884.37 / $87,096.36 / $147,910.84
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $61,659.50 / $85,113.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $75,857.76 / $114,815.36
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $50,118.72 / $60,255.96
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $64,565.42 / $97,723.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $69,183.10 / $91,201.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $69,183.10 / $100,000.00