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Knee Procedures without Pdx of Infection with Complications

Pennsylvania 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?

$26,915

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $19,953 to $34,674.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $26,915 · 10th to 90th $15,488 to $38,905
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $26,915

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
$15,848.93
Median
$28,840.32
Typical High
$38,904.51
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$36,307.81
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$28,183.83
Typical High
$43,651.58
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$30,902.95
Typical High
$38,018.94
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$29,512.09
Typical High
$37,153.52
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$38,018.94
Typical High
$74,131.02
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$26,915.35
Typical High
$38,904.51
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$19,054.61
Typical High
$28,840.32
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$22,908.68
Typical High
$41,686.94

Where Pennsylvania 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.

Pennsylvania $26,915 · 28th 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.