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Knee Procedures with Pdx of Infection (with MCC)

California rates for MS-DRG 485

Knee Procedures with Principal Diagnosis of Infection with MCC

Rates data updated October 2026.

How much does Knee Procedures with Pdx of Infection (with MCC) cost?

$56,234

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $56,234 for this service. Most negotiated rates run $44,668 to $83,176.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $56,234 · 10th to 90th $8,710 to $114,815
$1K$10K$100Kfacility $56,234

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$30,199.52
Median
$67,608.30
Typical High
$151,356.12
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$39,810.72
Median
$53,703.18
Typical High
$112,201.85
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$34,673.69
Median
$61,659.50
Typical High
$112,201.85
Cigna
Setting
Facility
Modifier
None
Typical Low
$43,651.58
Median
$67,608.30
Typical High
$114,815.36
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$9,549.93
Median
$61,659.50
Typical High
$77,624.71
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$53,703.18
Typical High
$125,892.54

Where California sits

The same service costs 309.0 times more in New York than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 15th of 51

$56,234

NY $85,114HI $275

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.