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Texas rates for MS-DRG 468

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

Facilitymedian $35,481 · 10th–90th $16,982$66,0690%5%10th90th$35,481$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$39,810.72
Typical High
$64,565.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$29,512.09
Typical High
$56,234.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$40,738.03
Typical High
$83,176.38
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$97,723.72
Median
$97,723.72
Typical High
$97,723.72
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$30,199.52
Typical High
$64,565.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$38,018.94
Typical High
$89,125.09
United
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$28,840.32
Typical High
$69,183.10