go back

Washington rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Facilitymedian $79,433 · 10th–90th $48,978–$134,8960%20%10th90th$79,433$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
$53,703.18 / $83,176.38 / $173,780.08
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $58,884.37 / $81,283.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $69,183.10 / $104,712.85
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $47,863.01 / $64,565.42
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $60,255.96 / $93,325.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $64,565.42 / $87,096.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $64,565.42 / $93,325.43