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Oregon rates for MS-DRG 487

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

Facilitymedian $37,154 · 10th–90th $21,380–$58,8840%10%10th90th$37,154$200.0$1.0K$5.0K$20.0K

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
$37,153.52 / $42,657.95 / $87,096.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $38,018.94 / $57,543.99
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $32,359.37 / $50,118.72
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $26,915.35 / $31,622.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $35,481.34 / $54,954.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $30,199.52 / $40,738.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $35,481.34 / $42,657.95