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Knee Procedures with Pdx of Infection without Complications

California rates for MS-DRG 487

Knee procedures w pdx of infection w/o CC/MCC

Rates data updated July 2026.

How much does Knee Procedures with Pdx of Infection without Complications cost?

$38,905

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $38,905 for this service. Most negotiated rates run $25,704 to $52,481.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,905 · 10th to 90th $11,220 to $66,069
$100.0$1.0K$10.0K$100.0Kfacility $38,905

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
$22,908.68
Median
$35,481.34
Typical High
$57,543.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$38,904.51
Typical High
$67,608.30
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$26,915.35
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$31,622.78
Typical High
$54,954.09
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$34,673.69
Typical High
$66,069.34
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$30,902.95
Typical High
$61,659.50

Where California sits

The same service costs 3.5 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $38,905 · 5th of 51
MT $43,652NM $12,589

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.