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Knee Procedures with Pdx of Infection (with MCC)

West Virginia 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?

$46,774

Typical facility fee. In West Virginia, October 2026.

Insurers have agreed to pay about $46,774 for this service. Most negotiated rates run $44,668 to $54,954.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $46,774 · 10th to 90th $30,200 to $61,660
$5K$10K$20K$50Kfacility $46,774

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$30,199.52
Median
$30,199.52
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$39,810.72
Median
$46,773.51
Typical High
$61,659.50
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$85,113.80
Median
$85,113.80
Typical High
$85,113.80
United
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$44,668.36
Typical High
$54,954.09

Where West Virginia 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.

West Virginia· 31st of 51

$46,774

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.