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Knee Procedures with Pdx of Infection without Complications

South Carolina 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?

$28,184

Typical facility fee. In South Carolina, July 2026.

Insurers have agreed to pay about $28,184 for this service. Most negotiated rates run $22,387 to $41,687.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28,184 · 10th to 90th $15,849 to $61,660
$10K$20K$50Kfacility $28,184

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
$24,547.09
Median
$37,153.52
Typical High
$70,794.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$25,703.96
Typical High
$46,773.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$27,542.29
Typical High
$46,773.51
United
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$36,307.81
Typical High
$61,659.50

Where South Carolina 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.

South Carolina· 16th of 51

$28,184

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.