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Ohio rates for MS-DRG 470

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

Facilitymedian $27,542 · 10th–90th $19,055$42,6580%10%20%10th90th$27,542$5.0K$10.0K$20.0K$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 / $29,512.09 / $44,668.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $26,302.68 / $39,810.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $30,199.52 / $43,651.58
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $25,118.86 / $44,668.36
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $19,952.62 / $30,902.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $27,542.29 / $43,651.58