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California rates for MS-DRG 468

Revision of hip or knee replacement w/o CC/MCC

Facilitymedian $69,183 · 10th–90th $22,909$100,0000%20%10th90th$69,183$100.0$500.0$2.0K$10.0K$50.0K$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
$28,840.32 / $54,954.09 / $100,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $75,857.76 / $100,000.00
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $43,651.58 / $104,712.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $47,863.01 / $104,712.85
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $199.53 / $346.74
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97,723.72 / $97,723.72 / $97,723.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $52,480.75 / $107,151.93
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $60,255.96 / $60,255.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $38,904.51 / $93,325.43