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New Jersey rates for MS-DRG 470

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

Facilitymedian $42,658 · 10th–90th $26,915–$61,6600%10%20%10th90th$42,658$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
$31,622.78 / $44,668.36 / $61,659.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $32,359.37 / $60,255.96
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $66,069.34 / $66,069.34
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $38,904.51 / $58,884.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $21,379.62 / $43,651.58