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Washington rates for MS-DRG 468

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

Facilitymedian $66,069 · 10th–90th $38,905$114,8150%10%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
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$67,608.30
Typical High
$114,815.36
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$47,863.01
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$58,884.37
Typical High
$89,125.09
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$46,773.51
Typical High
$51,286.14
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$50,118.72
Typical High
$75,857.76
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$52,480.75
Typical High
$70,794.58
United
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$53,703.18
Typical High
$77,624.71