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Wisconsin rates for MS-DRG 467

Revision of hip or knee replacement w CC

Facilitymedian $63,096 · 10th–90th $35,481–$95,4990%10%10th90th$63,096$500.0$2.0K$10.0K$50.0K

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
$52,480.75 / $63,095.73 / $66,069.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $67,608.30 / $97,723.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $60,255.96 / $100,000.00
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $52,480.75 / $67,608.30
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $57,543.99 / $102,329.30
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $40,738.03 / $52,480.75
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $72,443.60 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $58,884.37 / $83,176.38