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Oregon rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $70,795 · 10th–90th $41,687–$120,2260%10%10th90th$70,795$200.0$1.0K$5.0K$20.0K$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
$70,794.58 / $83,176.38 / $169,824.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $72,443.60 / $120,226.44
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $61,659.50 / $95,499.26
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $53,703.18 / $61,659.50
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $72,443.60 / $120,226.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $64,565.42 / $89,125.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $67,608.30 / $81,283.05