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Washington rates for MS-DRG 494

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

Facilitymedian $48,978 · 10th–90th $28,840–$83,1760%10%20%10th90th$48,978$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
$33,884.42 / $51,286.14 / $107,151.93
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $33,113.11 / $45,708.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $43,651.58 / $66,069.34
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $31,622.78 / $60,255.96
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $35,481.34 / $54,954.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $37,153.52 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $39,810.72 / $57,543.99