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Knee Procedures without Pdx of Infection with Complications

California rates for MS-DRG 488

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

Rates data updated July 2026.

Facilitymedian $42,658 · 10th–90th $10,715$74,1310%10%10th90th$42,658$100.0$500.0$2.0K$10.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$38,904.51
Typical High
$66,069.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$42,657.95
Typical High
$74,131.02
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$32,359.37
Typical High
$63,095.73
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$33,884.42
Typical High
$63,095.73
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$63,095.73
Typical High
$63,095.73
Providence
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$35,481.34
Typical High
$70,794.58
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$32,359.37
Typical High
$69,183.10