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Wisconsin rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Facilitymedian $58,884 · 10th–90th $32,359–$85,1140%10%10th90th$58,884$500.0$2.0K$10.0K$50.0K

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
$48,977.88 / $57,543.99 / $60,255.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $61,659.50 / $89,125.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $51,286.14 / $91,201.08
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $48,977.88 / $61,659.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $57,543.99 / $93,325.43
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $37,153.52 / $47,863.01
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $66,069.34 / $69,183.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $60,255.96 / $75,857.76