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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.

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

$23,442

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $23,442 for this service. Most negotiated rates run $16,218 to $29,512.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,442 · 10th to 90th $13,183 to $34,674
$5K$10K$20K$50Kfacility $23,442

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
$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

Where Pennsylvania sits

The same service costs 3.5 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 27th of 51

$23,442

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.