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Ohio rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $41,687 · 10th–90th $25,704$61,6600%10%10th90th$41,687$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
$26,915.35 / $41,686.94 / $58,884.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $37,153.52 / $61,659.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $47,863.01 / $69,183.10
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $39,810.72 / $70,794.58
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $31,622.78 / $47,863.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $41,686.94 / $67,608.30