go back

California rates for MS-DRG 486

Knee procedures w pdx of infection w CC

Facilitymedian $48,978 · 10th–90th $12,882–$87,0960%10%20%10th90th$48,978$100.0$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
$23,988.33 / $43,651.58 / $91,201.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $50,118.72 / $87,096.36
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $37,153.52 / $74,131.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $38,018.94 / $74,131.02
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $75,857.76 / $75,857.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $40,738.03 / $83,176.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $41,686.94 / $81,283.05