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Massachusetts rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $42,658 · 10th–90th $20,893–$79,4330%10%10th90th$42,658$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
$21,379.62 / $46,773.51 / $79,432.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $43,651.58 / $114,815.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $44,668.36 / $67,608.30
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $436.52 / $22,908.68
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $43,651.58 / $114,815.36
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $43,651.58 / $114,815.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $34,673.69 / $91,201.08