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Ohio rates for MS-DRG 494

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

Facilitymedian $28,840 · 10th–90th $18,197–$40,7380%10%10th90th$28,840$5.0K$10.0K$20.0K$50.0K

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
$20,417.38 / $29,512.09 / $37,153.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $26,302.68 / $39,810.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $31,622.78 / $45,708.82
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $28,183.83 / $41,686.94
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $20,892.96 / $32,359.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $28,183.83 / $44,668.36