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Knee Procedures with Pdx of Infection (with MCC)

Montana 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?

$72,444

Typical facility fee. In Montana, July 2026.

Insurers have agreed to pay about $72,444 for this service. Most negotiated rates run $69,183 to $83,176.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $72,444 · 10th to 90th $48,978 to $87,096
$20K$50K$100Kfacility $72,444

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$72,443.60
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75,857.76
Median
$75,857.76
Typical High
$75,857.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$75,857.76
Median
$75,857.76
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$12,882.50
Typical High
$41,686.94

Where Montana 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.

Montana· 6th of 51

$72,444

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.