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Knee Procedures without Pdx of Infection with Complications

Washington 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?

$42,658

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $42,658 for this service. Most negotiated rates run $33,113 to $48,978.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $42,658 · 10th to 90th $26,303 to $61,660
$10K$20K$50K$100Kfacility $42,658

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
$29,512.09
Median
$44,668.36
Typical High
$74,131.02
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$41,686.94
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$38,018.94
Typical High
$57,543.99
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$34,673.69
Typical High
$38,904.51
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$37,153.52
Typical High
$56,234.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$41,686.94
Typical High
$57,543.99
United
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$35,481.34
Typical High
$51,286.14

Where Washington 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.

Washington· 7th of 51

$42,658

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.