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Oregon rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Facilitymedian $75,858 · 10th–90th $42,658–$117,4900%20%10th90th$75,858$200.0$1.0K$5.0K$20.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $89,125.09 / $177,827.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $77,624.71 / $117,489.76
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $66,069.34 / $102,329.30
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $54,954.09 / $60,255.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $72,443.60 / $117,489.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $63,095.73 / $87,096.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $72,443.60 / $87,096.36