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Knee Procedures without Pdx of Infection with Complications

Virginia 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?

$34,674

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $34,674 for this service. Most negotiated rates run $27,542 to $40,738.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $34,674 · 10th to 90th $21,380 to $67,608
$10K$20K$50K$100Kfacility $34,674

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
$24,547.09
Median
$30,902.95
Typical High
$35,481.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$33,113.11
Typical High
$45,708.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$33,113.11
Typical High
$45,708.82
Sentara
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$37,153.52
Typical High
$83,176.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$22,908.68
Typical High
$48,977.88

Where Virginia 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.

Virginia· 14th of 51

$34,674

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.