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Knee Procedures with Pdx of Infection without Complications

Vermont rates for MS-DRG 487

Knee Procedures with Principal Diagnosis of Infection without CC/MCC

Rates data updated October 2026.

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

$40,738

Typical facility fee. In Vermont, October 2026.

Insurers have agreed to pay about $40,738 for this service. Most negotiated rates run $19,953 to $44,668.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $40,738 · 10th to 90th $18,621 to $54,954
$20K$50Kfacility $40,738

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$19,952.62
Median
$40,738.03
Typical High
$44,668.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$18,620.87
Median
$22,387.21
Typical High
$43,651.58
United
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$54,954.09

Where Vermont sits

The same service costs 147.9 times more in New York than in Hawaii. 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.

Vermont· 3rd of 51

$40,738

NY $40,738HI $275

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.