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Knee Procedures with Pdx of Infection with Complications

Ohio 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?

$29,512

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $29,512 for this service. Most negotiated rates run $24,547 to $38,905.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $29,512 · 10th to 90th $18,621 to $44,668
$20K$50Kfacility $29,512

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
$25,703.96
Median
$34,673.69
Typical High
$50,118.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$27,542.29
Typical High
$41,686.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$33,113.11
Typical High
$47,863.01
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$27,542.29
Typical High
$48,977.88
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$16,595.87
Typical High
$41,686.94
United
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$29,512.09
Typical High
$46,773.51

Where Ohio 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.

Ohio· 29th of 51

$29,512

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.