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New York rates for MS-DRG 492

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc

Facilitymedian $91,201 · 10th–90th $35,481$144,5440%10%10th90th$91,201$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
$29,512.09 / $75,857.76 / $144,543.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74,131.02 / $114,815.36 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $102,329.30 / $131,825.67
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $91,201.08 / $229,086.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $77,624.71 / $125,892.54