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Missouri rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Facilitymedian $37,154 · 10th–90th $22,387–$57,5440%10%20%10th90th$37,154$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 / $34,673.69 / $45,708.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $37,153.52 / $61,659.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151,356.12 / $151,356.12 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $36,307.81 / $57,543.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $38,018.94 / $61,659.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $33,884.42 / $51,286.14