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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.

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

$42,658

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $42,658 for this service. Most negotiated rates run $28,840 to $57,544.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $42,658 · 10th to 90th $10,715 to $74,131
$200$1K$5K$20K$100Kfacility $42,658

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
$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

Where California sits

The same service costs 3.7 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.

California· 6th of 51

$42,658

MT $48,978NM $13,183

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.