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Pennsylvania rates for MS-DRG 470

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

Facilitymedian $31,623 · 10th–90th $16,218$46,7740%10%10th90th$31,623$2.0K$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
$17,782.79 / $32,359.37 / $46,773.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $38,018.94 / $48,977.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $30,199.52 / $46,773.51
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $31,622.78 / $31,622.78
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $32,359.37 / $38,904.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $30,199.52 / $43,651.58
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $29,512.09 / $44,668.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $15,135.61 / $21,379.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $25,118.86 / $44,668.36