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Knee Procedures without Pdx of Infection with Complications

Pennsylvania rates for MS-DRG 488

Knee Procedures without Principal Diagnosis of Infection with CC/MCC

Rates data updated October 2026.

How much does Knee Procedures without Pdx of Infection with Complications cost?

$27,542

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $27,542 for this service. Most negotiated rates run $17,783 to $35,481.

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 $27,542 · 10th to 90th $13,804 to $43,652
$5K$10K$20K$50Kfacility $27,542

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$29,512.09
Typical High
$41,686.94
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$34,673.69
Typical High
$51,286.14
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$29,512.09
Typical High
$44,668.36
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$30,902.95
Typical High
$38,018.94
Geisinger
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$23,988.33
Typical High
$45,708.82
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$25,703.96
Median
$48,977.88
Typical High
$58,884.37
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$15,848.93
Median
$30,199.52
Typical High
$42,657.95
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$16,218.10
Typical High
$27,542.29
United
Setting
Facility
Modifier
None
Typical Low
$8,128.31
Median
$28,183.83
Typical High
$41,686.94

Where Pennsylvania sits

The same service costs 173.8 times more in Alaska than in Hawaii. 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.

Pennsylvania· 25th of 51

$27,542

AK $47,863HI $275

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.