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

Illinois 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?

$12,882

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $12,882 for this service. Most negotiated rates run $10,715 to $15,488.

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 $12,882 · 10th to 90th $257 to $19,055
$100$500$2K$10Kfacility $12,882

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
$10,964.78
Median
$14,454.40
Typical High
$18,620.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$12,882.50
Typical High
$19,498.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$12,302.69
Typical High
$22,387.21
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$13,803.84
Typical High
$20,417.38

Where Illinois 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.

Illinois· 40th of 51

$12,882

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.