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Texas rates for MS-DRG 470

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

Facilitymedian $25,704 · 10th–90th $12,882–$47,8630%5%10%10th90th$25,704$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
$15,135.61 / $28,183.83 / $44,668.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $20,417.38 / $42,657.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $31,622.78 / $57,543.99
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $93,325.43 / $93,325.43
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $22,387.21 / $44,668.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $28,183.83 / $61,659.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $21,379.62 / $48,977.88