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Knee Procedures with Pdx of Infection (with MCC)

New York rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Rates data updated July 2026.

Facilitymedian $83,176 · 10th–90th $36,308$125,8930%10%10th90th$83,176$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
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$67,608.30
Typical High
$125,892.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$67,608.30
Median
$104,712.85
Typical High
$131,825.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$89,125.09
Typical High
$117,489.76
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$79,432.82
Typical High
$165,958.69
United
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$67,608.30
Typical High
$109,647.82