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Knee Procedures without Pdx of Infection with Complications

New Jersey 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?

$40,738

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $40,738 for this service. Most negotiated rates run $30,200 to $48,978.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $40,738 · 10th to 90th $21,878 to $57,544
$10K$20K$50K$100Kfacility $40,738

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
$24,547.09
Median
$42,657.95
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$42,657.95
Typical High
$56,234.13
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$42,657.95
Typical High
$42,657.95
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$38,018.94
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$17,378.01
Typical High
$48,977.88

Where New Jersey 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.

New Jersey· 10th of 51

$40,738

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.