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Knee Procedures with Pdx of Infection (with MCC)

Texas rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Rates data updated July 2026.

How much does Knee Procedures with Pdx of Infection (with MCC) cost?

$41,687

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $41,687 for this service. Most negotiated rates run $28,840 to $56,234.

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 $41,687 · 10th to 90th $19,498 to $81,283
$10K$20K$50K$100Kfacility $41,687

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$46,773.51
Typical High
$87,096.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$33,884.42
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$53,703.18
Typical High
$104,712.85
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$114,815.36
Median
$114,815.36
Typical High
$114,815.36
Providence
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$41,686.94
Typical High
$104,712.85
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$30,902.95
Typical High
$67,608.30

Where Texas sits

The same service costs 3.9 times more in New York than in Michigan. 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

$41,687

NY $83,176MI $21,380

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.