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Knee Procedures with Pdx of Infection with Complications

Washington, DC 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?

$50,119

Typical facility fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $50,119 for this service. Most negotiated rates run $40,738 to $69,183.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $50,119 · 10th to 90th $36,308 to $69,183
$20K$50K$100Kfacility $50,119

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
$40,738.03
Median
$50,118.72
Typical High
$69,183.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$45,708.82
Typical High
$85,113.80
United
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$41,686.94
Typical High
$81,283.05

Where Washington, DC 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.

Washington, DC· 5th of 51

$50,119

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.