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Texas rates for MS-DRG 494

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

Facilitymedian $23,988 · 10th–90th $11,482$46,7740%10%10th90th$23,988$2.0K$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
$18,197.01 / $28,840.32 / $46,773.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $19,054.61 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $30,199.52 / $56,234.13
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72,443.60 / $72,443.60 / $72,443.60
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $25,703.96 / $46,773.51
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $25,703.96 / $60,255.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $19,054.61 / $39,810.72