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New York rates for MS-DRG 488

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

Facilitymedian $43,652 · 10th–90th $16,982$69,1830%10%10th90th$43,652$2.0K$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
$14,125.38 / $37,153.52 / $69,183.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $56,234.13 / $72,443.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $48,977.88 / $63,095.73
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $44,668.36 / $109,647.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $38,904.51 / $64,565.42