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Knee Procedures with Pdx of Infection (with MCC)

New Jersey rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Rates data updated July 2026.

Facilitymedian $70,795 · 10th–90th $35,481$104,7130%10%10th90th$70,795$5.0K$10.0K$20.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$44,668.36
Median
$77,624.71
Typical High
$104,712.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$79,432.82
Typical High
$102,329.30
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$38,904.51
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$63,095.73
Typical High
$95,499.26
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$21,379.62
Typical High
$89,125.09