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Knee Procedures with Pdx of Infection without Complications

Pennsylvania rates for MS-DRG 487

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

Rates data updated July 2026.

Facilitymedian $23,442 · 10th–90th $13,183$34,6740%10%10th90th$23,442$2.0K$5.0K$10.0K$20.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$25,703.96
Typical High
$35,481.34
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$30,199.52
Typical High
$44,668.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$24,547.09
Typical High
$38,018.94
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$27,542.29
Typical High
$33,884.42
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$26,302.68
Typical High
$33,113.11
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$20,892.96
Typical High
$33,884.42
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$23,442.29
Typical High
$34,673.69
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$15,135.61
Typical High
$25,118.86
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$20,417.38
Typical High
$36,307.81