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Knee Procedures with Pdx of Infection (with MCC)

Ohio 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?

$48,978

Typical facility fee. In Ohio, October 2026.

Insurers have agreed to pay about $48,978 for this service. Most negotiated rates run $39,811 to $60,256.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $48,978 · 10th to 90th $30,903 to $69,183
$20K$50K$100Kfacility $48,978

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
$35,481.34
Median
$50,118.72
Typical High
$67,608.30
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$31,622.78
Median
$45,708.82
Typical High
$69,183.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$31,622.78
Median
$53,703.18
Typical High
$69,183.10
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$56,234.13
Typical High
$67,608.30
SummaCare
Setting
Facility
Modifier
None
Typical Low
$20,417.38
Median
$28,840.32
Typical High
$39,810.72
United
Setting
Facility
Modifier
None
Typical Low
$16,982.44
Median
$61,659.50
Typical High
$74,131.02

Where Ohio 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.

Ohio· 25th of 51

$48,978

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.