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Knee Procedures with Pdx of Infection (with MCC)

Kentucky rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Rates data updated July 2026.

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

$41,687

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $41,687 for this service. Most negotiated rates run $30,903 to $46,774.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $41,687 · 10th to 90th $25,704 to $54,954
$20K$50Kfacility $41,687

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$47,863.01
Typical High
$77,624.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$41,686.94
Typical High
$52,480.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$44,668.36
Typical High
$83,176.38
United
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$41,686.94
Typical High
$54,954.09

Where Kentucky sits

The same service costs 3.9 times more in New York than in Michigan. 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.

Kentucky· 32nd of 51

$41,687

NY $83,176MI $21,380

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.