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Massachusetts rates for MS-DRG 468

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

Facilitymedian $38,905 · 10th–90th $19,055–$72,4440%10%10th90th$38,905$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
$20,892.96 / $42,657.95 / $72,443.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $38,904.51 / $104,712.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $43,651.58 / $61,659.50
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $389.05 / $60,255.96
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $38,904.51 / $104,712.85
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $38,904.51 / $104,712.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $31,622.78 / $81,283.05