go back

Tennessee rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Facilitymedian $38,019 · 10th–90th $23,988$75,8580%10%10th90th$38,019$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
$17,782.79 / $27,542.29 / $75,857.76
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $41,686.94 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $37,153.52 / $50,118.72
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109,647.82 / $109,647.82 / $109,647.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $35,481.34 / $60,255.96