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Knee Procedures with Pdx of Infection (with MCC)

North Carolina 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?

$39,811

Typical facility fee. In North Carolina, October 2026.

Insurers have agreed to pay about $39,811 for this service. Most negotiated rates run $31,623 to $53,703.

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 $39,811 · 10th to 90th $23,442 to $64,565
$5K$10K$20K$50Kfacility $39,811

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
$15,135.61
Median
$32,359.37
Typical High
$63,095.73
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$37,153.52
Typical High
$63,095.73
Cigna
Setting
Facility
Modifier
None
Typical Low
$31,622.78
Median
$46,773.51
Typical High
$66,069.34
Medcost
Setting
Facility
Modifier
None
Typical Low
$18,620.87
Median
$25,118.86
Typical High
$39,810.72
United
Setting
Facility
Modifier
None
Typical Low
$33,113.11
Median
$47,863.01
Typical High
$75,857.76

Where North Carolina 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.

North Carolina· 35th of 51

$39,811

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.