go back

Iowa rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $36,308 · 10th–90th $27,542$46,7740%20%10th90th$36,308$200.0$1.0K$5.0K$20.0K

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
$28,840.32 / $35,481.34 / $42,657.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $31,622.78 / $54,954.09
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $36,307.81 / $56,234.13
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $24,547.09 / $58,884.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $37,153.52 / $60,255.96