go back

Knee Procedures with Pdx of Infection (with MCC)

Wisconsin rates for MS-DRG 485

Knee Procedures with Principal Diagnosis of Infection with MCC

Rates data updated October 2026.

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

$54,954

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $54,954 for this service. Most negotiated rates run $46,774 to $67,608.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $54,954 · 10th to 90th $33,113 to $81,283
$1K$2K$5K$10K$20K$50K$100Kfacility $54,954

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$48,977.88
Median
$48,977.88
Typical High
$57,543.99
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$57,543.99
Typical High
$83,176.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$56,234.13
Typical High
$83,176.38
DeanCare
Setting
Facility
Modifier
None
Typical Low
$42,657.95
Median
$48,977.88
Typical High
$61,659.50
Medica
Setting
Facility
Modifier
None
Typical Low
$44,668.36
Median
$58,884.37
Typical High
$79,432.82
Quartz
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$37,153.52
Typical High
$64,565.42
Security Health
Setting
Facility
Modifier
None
Typical Low
$53,703.18
Median
$58,884.37
Typical High
$69,183.10
United
Setting
Facility
Modifier
None
Typical Low
$36,307.81
Median
$61,659.50
Typical High
$75,857.76

Where Wisconsin sits

The same service costs 309.0 times more in New York than in Hawaii. 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.

Wisconsin· 16th of 51

$54,954

NY $85,114HI $275

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.