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Virginia rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Facilitymedian $52,481 · 10th–90th $24,547$70,7950%10%10th90th$52,481$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$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
$36,307.81 / $61,659.50 / $66,069.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $60,255.96 / $87,096.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $50,118.72 / $77,624.71
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $46,773.51 / $66,069.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $30,902.95 / $85,113.80