go back

Knee Procedures with Pdx of Infection without Complications

Washington 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?

$34,674

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $34,674 for this service. Most negotiated rates run $28,184 to $42,658.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $34,674 · 10th to 90th $21,380 to $52,481
$10K$20K$50K$100Kfacility $34,674

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
$26,302.68
Median
$39,810.72
Typical High
$64,565.42
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$31,622.78
Typical High
$45,708.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$33,884.42
Typical High
$51,286.14
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$28,183.83
Typical High
$30,199.52
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$29,512.09
Typical High
$45,708.82
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$31,622.78
Typical High
$43,651.58
United
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$30,902.95
Typical High
$45,708.82

Where Washington 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.

Washington· 8th of 51

$34,674

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.