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New York rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Facilitymedian $79,433 · 10th–90th $30,903–$125,8930%10%10th90th$79,433$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $67,608.30 / $125,892.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $102,329.30 / $131,825.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $89,125.09 / $117,489.76
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $79,432.82 / $199,526.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $67,608.30 / $109,647.82