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Knee Procedures without Pdx of Infection with Complications

South Carolina 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?

$33,884

Typical facility fee. In South Carolina, July 2026.

Insurers have agreed to pay about $33,884 for this service. Most negotiated rates run $22,387 to $51,286.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $33,884 · 10th to 90th $19,055 to $70,795
$10K$20K$50Kfacility $33,884

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
$27,542.29
Median
$42,657.95
Typical High
$79,432.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$26,915.35
Typical High
$61,659.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$30,902.95
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$38,904.51
Typical High
$70,794.58

Where South Carolina 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.

South Carolina· 15th of 51

$33,884

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.