go back

Maine rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Facilitymedian $60,256 · 10th–90th $41,687$75,8580%20%10th90th$60,256$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $64,565.42 / $75,857.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $50,118.72 / $97,723.72
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $53,703.18 / $53,703.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $41,686.94 / $41,686.94