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Ohio rates for MS-DRG 499

Local excision & removal int fix devices of hip & femur w/o CC/MCC

Facilitymedian $26,915 · 10th–90th $18,197–$39,8110%10%10th90th$26,915$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 / $27,542.29 / $45,708.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $24,547.09 / $38,018.94
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 / $26,302.68 / $46,773.51
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
$14,791.08 / $28,183.83 / $43,651.58