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Knee Procedures with Pdx of Infection with Complications

Texas 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?

$26,915

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $18,621 to $36,308.

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 $26,915 · 10th to 90th $12,882 to $52,481
$10K$20K$50Kfacility $26,915

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
$19,952.62
Median
$30,199.52
Typical High
$56,234.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$21,877.62
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$34,673.69
Typical High
$67,608.30
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$75,857.76
Median
$75,857.76
Typical High
$75,857.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$28,183.83
Typical High
$67,608.30
United
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$21,379.62
Typical High
$43,651.58

Where Texas 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.

Texas· 33rd of 51

$26,915

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.