go back

California rates for MS-DRG 489

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

Facilitymedian $30,903 · 10th–90th $13,804–$40,7380%10%20%10th90th$30,903$100.0$500.0$2.0K$10.0K$50.0K

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
$14,454.40 / $28,840.32 / $47,863.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $32,359.37 / $40,738.03
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $24,547.09 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $26,915.35 / $39,810.72
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $39,810.72 / $39,810.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $29,512.09 / $44,668.36
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $19,498.45 / $19,498.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $23,442.29 / $48,977.88