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Oregon rates for MS-DRG 470

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

Facilitymedian $45,709 · 10th–90th $25,704–$66,0690%10%10th90th$45,709$200.0$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
$45,708.82 / $52,480.75 / $107,151.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $41,686.94 / $66,069.34
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $38,904.51 / $61,659.50
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $32,359.37 / $45,708.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $42,657.95 / $66,069.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $36,307.81 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $42,657.95 / $52,480.75