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Knee Procedures with Pdx of Infection with Complications

New York 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?

$54,954

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $54,954 for this service. Most negotiated rates run $35,481 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $54,954 · 10th to 90th $23,442 to $81,283
$10K$20K$50K$100Kfacility $54,954

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
$16,982.44
Median
$42,657.95
Typical High
$81,283.05
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$69,183.10
Typical High
$85,113.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$58,884.37
Typical High
$75,857.76
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$51,286.14
Typical High
$107,151.93
United
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$43,651.58
Typical High
$72,443.60

Where New York 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.

New York· 1st of 51

$54,954

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.