go back

Knee Procedures with Pdx of Infection (with MCC)

New York 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?

$85,114

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $85,114 for this service. Most negotiated rates run $60,256 to $107,152.

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 $85,114 · 10th to 90th $41,687 to $125,893
$5K$10K$20K$50K$100K$200Kfacility $85,114

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
$27,542.29
Median
$66,069.34
Typical High
$125,892.54
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$63,095.73
Median
$95,499.26
Typical High
$128,824.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$48,977.88
Median
$81,283.05
Typical High
$114,815.36
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$46,773.51
Median
$85,113.80
Typical High
$158,489.32
United
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$58,884.37
Typical High
$117,489.76

Where New York 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.

New York· 1st of 51

$85,114

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.