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New York rates for MS-DRG 470

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

Facilitymedian $47,863 · 10th–90th $19,055$79,4330%5%10%10th90th$47,863$2.0K$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
$16,595.87 / $42,657.95 / $75,857.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $61,659.50 / $81,283.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $53,703.18 / $69,183.10
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $48,977.88 / $120,226.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $20,892.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $41,686.94 / $69,183.10