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Washington rates for MS-DRG 470

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

Facilitymedian $44,668 · 10th–90th $25,119$79,4330%10%10th90th$44,668$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
$31,622.78 / $47,863.01 / $79,432.82
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $33,113.11 / $45,708.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $41,686.94 / $63,095.73
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $32,359.37 / $60,255.96
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $38,018.94 / $52,480.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $37,153.52 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $38,018.94 / $54,954.09