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Knee Procedures without Pdx of Infection with Complications

Washington, DC 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 Washington, DC, July 2026.

Insurers have agreed to pay about $42,658 for this service. Most negotiated rates run $34,674 to $58,884.

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 $42,658 · 10th to 90th $30,903 to $58,884
$20.0K$50.0Kfacility $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
$34,673.69
Median
$42,657.95
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$38,904.51
Typical High
$72,443.60
United
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$36,307.81
Typical High
$67,608.30

Where Washington, DC sits

The same service costs 3.7 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $42,658 · 8th of 51
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.