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Wisconsin rates for MS-DRG 468

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

Facilitymedian $50,119 · 10th–90th $27,542$72,4440%10%10th90th$50,119$500.0$2.0K$10.0K$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
$41,686.94 / $48,977.88 / $51,286.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $52,480.75 / $75,857.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $46,773.51 / $77,624.71
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $41,686.94 / $52,480.75
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $46,773.51 / $67,608.30
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $31,622.78 / $40,738.03
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $56,234.13 / $58,884.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $45,708.82 / $64,565.42