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Ohio rates for MS-DRG 489

Knee procedures w/o pdx of infection w/o CC/MCC

Facilitymedian $15,849 · 10th–90th $10,000$24,5470%10%10th90th$15,849$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
$11,481.54 / $18,197.01 / $25,703.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $14,454.40 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $17,378.01 / $25,118.86
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $14,454.40 / $25,703.96
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $11,481.54 / $17,782.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $15,848.93 / $25,118.86