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Knee Procedures with Pdx of Infection with Complications

West Virginia 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?

$19,498

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $17,783 to $23,442.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $19,498 · 10th to 90th $16,982 to $36,308
$5K$10K$20K$50Kfacility $19,498

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$19,498.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$28,840.32
Typical High
$39,810.72
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$56,234.13
United
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$18,197.01
Typical High
$28,840.32

Where West Virginia 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.

West Virginia· 48th of 51

$19,498

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.