go back

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

Washington, DC 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?

$26,915

Typical facility fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $21,878 to $37,154.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $26,915 · 10th to 90th $19,498 to $37,154
$10K$20K$50Kfacility $26,915

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
$21,877.62
Median
$26,915.35
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$24,547.09
Typical High
$45,708.82
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$22,387.21
Typical High
$42,657.95

Where Washington, DC 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.

Washington, DC· 7th of 51

$26,915

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.