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Knee Procedures with Pdx of Infection with Complications

California rates for MS-DRG 486

Knee procedures w pdx of infection w CC

Rates data updated July 2026.

How much does Knee Procedures with Pdx of Infection with Complications cost?

$48,978

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $48,978 for this service. Most negotiated rates run $33,884 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 $48,978 · 10th to 90th $12,882 to $87,096
$200$1K$5K$20K$100Kfacility $48,978

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$46,773.51
Typical High
$77,624.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$50,118.72
Typical High
$87,096.36
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$35,481.34
Typical High
$75,857.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$39,810.72
Typical High
$74,131.02
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$75,857.76
Median
$75,857.76
Typical High
$75,857.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$40,738.03
Typical High
$83,176.38
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$38,904.51
Typical High
$81,283.05

Where California sits

The same service costs 3.2 times more in New York than in New Mexico. 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.

California· 7th of 51

$48,978

NY $54,954NM $16,982

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.