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Knee Procedures with Pdx of Infection with Complications

Washington 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?

$45,709

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $45,709 for this service. Most negotiated rates run $37,154 to $56,234.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $45,709 · 10th to 90th $27,542 to $69,183
$20K$50K$100Kfacility $45,709

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
$34,673.69
Median
$53,703.18
Typical High
$87,096.36
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$41,686.94
Typical High
$60,255.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$44,668.36
Typical High
$69,183.10
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$32,359.37
Typical High
$38,018.94
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$39,810.72
Typical High
$61,659.50
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$42,657.95
Typical High
$58,884.37
United
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$41,686.94
Typical High
$60,255.96

Where Washington 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.

Washington· 9th of 51

$45,709

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.