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New Jersey rates for MS-DRG 488

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

Facilitymedian $42,658 · 10th–90th $24,547$57,5440%10%10th90th$42,658$5.0K$10.0K$20.0K$50.0K$100.0K

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
$24,547.09 / $42,657.95 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $42,657.95 / $56,234.13
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $42,657.95 / $42,657.95
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $43,651.58 / $66,069.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $18,620.87 / $48,977.88