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Texas rates for MS-DRG 487

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

Facilitymedian $21,380 · 10th–90th $10,000$36,3080%10%10th90th$21,380$2.0K$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
$15,848.93 / $22,387.21 / $36,307.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $16,595.87 / $28,183.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $25,118.86 / $43,651.58
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $22,387.21 / $36,307.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $20,417.38 / $46,773.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $16,595.87 / $33,113.11