go back

Knee Procedures with Pdx of Infection (with MCC)

Indiana 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?

$50,119

Typical facility fee. In Indiana, October 2026.

Insurers have agreed to pay about $50,119 for this service. Most negotiated rates run $39,811 to $61,660.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $50,119 · 10th to 90th $31,623 to $72,444
$20K$50K$100Kfacility $50,119

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
$39,810.72
Median
$60,255.96
Typical High
$81,283.05
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$47,863.01
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$33,113.11
Median
$44,668.36
Typical High
$112,201.85
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$41,686.94
Median
$83,176.38
Typical High
$93,325.43
United
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$51,286.14
Typical High
$69,183.10

Where Indiana 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.

Indiana· 23rd of 51

$50,119

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.