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Texas rates for MS-DRG 488

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

Facilitymedian $22,387 · 10th–90th $12,303$43,6520%10%10th90th$22,387$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
$18,197.01 / $25,118.86 / $41,686.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $20,417.38 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $28,840.32 / $57,543.99
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63,095.73 / $63,095.73 / $63,095.73
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $21,877.62 / $41,686.94
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $23,442.29 / $57,543.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $17,782.79 / $37,153.52