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Texas rates for MS-DRG 486

Knee procedures w pdx of infection w CC

Facilitymedian $28,184 · 10th–90th $12,882–$48,9780%10%10th90th$28,184$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $30,199.52 / $48,977.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $21,877.62 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $34,673.69 / $67,608.30
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $75,857.76 / $75,857.76
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $29,512.09 / $48,977.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $28,183.83 / $67,608.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $21,379.62 / $43,651.58