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Missouri rates for MS-DRG 487

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

Facilitymedian $17,783 · 10th–90th $10,965–$29,5120%10%10th90th$17,783$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
$15,488.17 / $16,982.44 / $21,877.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $17,782.79 / $30,199.52
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151,356.12 / $151,356.12 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $17,782.79 / $28,183.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $19,498.45 / $29,512.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $17,378.01 / $25,118.86