▸ California · MS-DRG 469
Major joint replacement w MCC in California
What California hospitals charge for major joint replacement w mcc (MS-DRG 469). Rates sourced from federally-mandated machine-readable files.
Hospitals
63
Rate rows
1,269
Neg. median
$35,904
Min
$39.1
Max
$339,597
Cash median
$29,851
Across 63 California hospitals, the negotiated rate for Major joint replacement w MCC ranges from $39.1 to $339,597, with a median of $35,904. The interquartile range is $29,932 to $53,807. Cash-pay patients typically pay $29,851; gross charges median $231,868.
By payer in California
Top 30 payers for Major joint replacement w MCC in California.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 55 | 161 | $43,860 |
| Aetna | 45 | 69 | $35,904 |
| Kaiser Permanente | 37 | 45 | $31,608 |
| Humana | 36 | 36 | $30,092 |
| Health Net | 35 | 107 | $52,431 |
| Medicare | 30 | 39 | $29,903 |
| UnitedHealthcare | 26 | 74 | $60,799 |
| Cigna | 23 | 42 | $54,964 |
| Molina | 21 | 31 | $30,574 |
| Anthem BCBS | 21 | 27 | $29,330 |
| brand new day | 18 | 19 | $30,092 |
| central health plan | 14 | 14 | $32,580 |
| Multiplan | 14 | 14 | $33,732 |
| scan health plan | 13 | 16 | $32,229 |
| WellCare | 10 | 10 | $30,069 |
| First Health | 10 | 10 | $130,725 |
| Empire BCBS | 9 | 13 | $31,624 |
| caremore | 9 | 9 | $31,624 |
| healthcare partners | 8 | 10 | $38,489 |
| heritage provider network | 8 | 11 | $43,462 |
| monarch health plan | 7 | 17 | $31,624 |
| TRICARE | 7 | 12 | $40,170 |
| la care health plan | 7 | 14 | $31,099 |
| providence health plan | 7 | 7 | $30,092 |
| employer direct healthcare | 6 | 6 | $37,674 |
| renal payer solutions | 6 | 6 | $28,980 |
| national healthcare solutions, inc (nhsi) | 6 | 6 | $46,367 |
| commercial | western health advantage | all plans | 5 | 5 | $19,907 |
| commercial | hill physicians | all plans | 5 | 5 | $31,103 |
| Bright Health | 5 | 8 | $43,462 |
Hospital comparison — Major joint replacement w MCC in California
Sorted by lowest negotiated median rate. Up to 100 hospitals.