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New Jersey rates for MS-DRG 487

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

Facilitymedian $37,154 · 10th–90th $21,878–$50,1190%10%10th90th$37,154$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
$24,547.09 / $37,153.52 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $38,018.94 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $28,840.32 / $28,840.32
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $34,673.69 / $52,480.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $17,782.79 / $43,651.58