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Knee Procedures with Pdx of Infection with Complications

Florida 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?

$38,019

Typical facility fee. In Florida, July 2026.

Insurers have agreed to pay about $38,019 for this service. Most negotiated rates run $29,512 to $51,286.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,019 · 10th to 90th $19,953 to $70,795
$20K$50K$100Kfacility $38,019

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
$26,302.68
Median
$43,651.58
Typical High
$70,794.58
AvMed
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$23,988.33
Typical High
$38,904.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$35,481.34
Typical High
$54,954.09
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$33,884.42
Typical High
$69,183.10
United
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$38,018.94
Typical High
$52,480.75

Where Florida 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.

Florida· 15th of 51

$38,019

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.