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Massachusetts rates for MS-DRG 488

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

Facilitymedian $27,542 · 10th–90th $12,023$45,7090%10%10th90th$27,542$200.0$1.0K$5.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $27,542.29 / $45,708.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $25,118.86 / $67,608.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $26,302.68 / $39,810.72
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $218.78 / $33,113.11
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $25,118.86 / $67,608.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $25,118.86 / $67,608.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $20,417.38 / $52,480.75