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Knee Procedures with Pdx of Infection (with MCC)

California rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Rates data updated July 2026.

Facilitymedian $69,183 · 10th–90th $12,882$134,8960%10%10th90th$69,183$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$70,794.58
Typical High
$120,226.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$69,183.10
Typical High
$134,896.29
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$53,703.18
Typical High
$120,226.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$61,659.50
Typical High
$114,815.36
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$114,815.36
Median
$114,815.36
Typical High
$114,815.36
Providence
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$63,095.73
Typical High
$128,824.96
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$52,480.75
Typical High
$125,892.54