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California rates for MS-DRG 470

Major joint replacement or reattachment of lower extremity w/o MCC

Facilitymedian $48,978 · 10th–90th $16,218–$83,1760%20%10th90th$48,978$100.0$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
$22,387.21 / $40,738.03 / $83,176.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $67,608.30 / $83,176.38
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $32,359.37 / $87,096.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $33,884.42 / $81,283.05
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $199.53 / $16,218.10
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93,325.43 / $93,325.43 / $93,325.43
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $38,018.94 / $93,325.43
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $53,703.18 / $53,703.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $31,622.78 / $75,857.76