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Knee Procedures without Pdx of Infection with Complications

Texas 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?

$24,547

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $24,547 for this service. Most negotiated rates run $17,783 to $36,308.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $24,547 · 10th to 90th $12,303 to $53,703
$10K$20K$50K$100Kfacility $24,547

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
$30,902.95
Typical High
$41,686.94
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$22,387.21
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,848.93
Median
$27,542.29
Typical High
$54,954.09
Moda Health
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$41,686.94
Typical High
$41,686.94
Providence
Setting
Facility
Modifier
None
Typical Low
$16,218.10
Median
$30,199.52
Typical High
$58,884.37
United
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$23,988.33
Typical High
$60,255.96

Where Texas 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.

Texas· 34th of 51

$24,547

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.