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New York rates for MS-DRG 481

Hip And Femur Procedures Except Major Joint With Cc

Facilitymedian $52,481 · 10th–90th $20,417$81,2830%10%10th90th$52,481$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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 / $44,668.36 / $81,283.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $64,565.42 / $85,113.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $57,543.99 / $75,857.76
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $53,703.18 / $131,825.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $19,952.62 / $20,892.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $41,686.94 / $70,794.58