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Virginia rates for MS-DRG 468

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

Facilitymedian $42,658 · 10th–90th $25,704$58,8840%10%10th90th$42,658$1.0K$2.0K$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
$25,703.96 / $47,863.01 / $56,234.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $48,977.88 / $72,443.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $42,657.95 / $66,069.34
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $39,810.72 / $56,234.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $38,018.94 / $72,443.60