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New York rates for MS-DRG 494

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc

Facilitymedian $44,668 · 10th–90th $19,498–$77,6250%10%10th90th$44,668$2.0K$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
$15,848.93 / $41,686.94 / $77,624.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $56,234.13 / $72,443.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $54,954.09 / $72,443.60
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $48,977.88 / $125,892.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $43,651.58 / $72,443.60