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Knee Procedures without Pdx of Infection (without CC/MCC)

California rates for MS-DRG 489

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

Rates data updated July 2026.

How much does Knee Procedures without Pdx of Infection (without CC/MCC) cost?

$30,903

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $30,903 for this service. Most negotiated rates run $26,915 to $34,674.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $30,903 · 10th to 90th $14,125 to $40,738
$500$1K$2K$5K$10K$20K$50Kfacility $30,903

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
$19,498.45
Median
$28,840.32
Typical High
$41,686.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$32,359.37
Typical High
$40,738.03
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$21,877.62
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$27,542.29
Typical High
$39,810.72
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$39,810.72
Typical High
$39,810.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$29,512.09
Typical High
$44,668.36
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$19,498.45
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$22,387.21
Typical High
$48,977.88

Where California sits

The same service costs 3.8 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.

California· 2nd of 51

$30,903

MT $33,884NM $8,913

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.