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Ohio rates for MS-DRG 480

Hip & femur procedures except major joint w MCC

Facilitymedian $39,811 · 10th–90th $26,303–$58,8840%10%10th90th$39,811$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
$29,512.09 / $41,686.94 / $66,069.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $35,481.34 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $45,708.82 / $66,069.34
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $38,018.94 / $67,608.30
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $30,199.52 / $46,773.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $40,738.03 / $64,565.42