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Tennessee rates for MS-DRG 468

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

Facilitymedian $34,674 · 10th–90th $21,380–$67,6080%5%10%10th90th$34,674$1.0K$5.0K$20.0K$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
$16,218.10 / $25,118.86 / $67,608.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $36,307.81 / $60,255.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $33,884.42 / $44,668.36
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97,723.72 / $97,723.72 / $97,723.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $35,481.34 / $54,954.09