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Knee Procedures with Pdx of Infection (with MCC)

Texas 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?

$40,738

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $40,738 for this service. Most negotiated rates run $30,200 to $57,544.

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 $40,738 · 10th to 90th $20,417 to $89,125
$10K$20K$50K$100K$200Kfacility $40,738

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
$30,199.52
Median
$56,234.13
Typical High
$75,857.76
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$18,620.87
Median
$38,018.94
Typical High
$66,069.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$28,840.32
Median
$50,118.72
Typical High
$102,329.30
Moda Health
Setting
Facility
Modifier
None
Typical Low
$28,840.32
Median
$75,857.76
Typical High
$75,857.76
Providence
Setting
Facility
Modifier
None
Typical Low
$36,307.81
Median
$107,151.93
Typical High
$134,896.29
United
Setting
Facility
Modifier
None
Typical Low
$16,982.44
Median
$39,810.72
Typical High
$93,325.43

Where Texas 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.

Texas· 33rd of 51

$40,738

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.