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Ohio rates for MS-DRG 468

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

Facilitymedian $38,905 · 10th–90th $26,303$56,2340%10%10th90th$38,905$5.0K$10.0K$20.0K$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
$28,183.83 / $39,810.72 / $56,234.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $36,307.81 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $43,651.58 / $63,095.73
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $36,307.81 / $63,095.73
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $28,840.32 / $43,651.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $38,904.51 / $61,659.50