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Texas rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Facilitymedian $43,652 · 10th–90th $19,498$75,8580%10%10th90th$43,652$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $46,773.51 / $75,857.76
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $33,884.42 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $53,703.18 / $104,712.85
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114,815.36 / $114,815.36 / $114,815.36
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $45,708.82 / $75,857.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $41,686.94 / $104,712.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $30,902.95 / $67,608.30