go back

New Jersey rates for MS-DRG 468

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

Facilitymedian $66,069 · 10th–90th $35,481$89,1250%10%20%10th90th$66,069$5.0K$10.0K$20.0K$50.0K$100.0K

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
$38,904.51 / $66,069.34 / $89,125.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $66,069.34 / $87,096.36
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70,794.58 / $70,794.58 / $70,794.58
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $58,884.37 / $89,125.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $21,379.62 / $75,857.76