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

Massachusetts 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?

$17,378

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $17,378 for this service. Most negotiated rates run $10,471 to $23,442.

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 $17,378 · 10th to 90th $9,772 to $28,840
$200$1K$5K$20Kfacility $17,378

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
$10,471.29
Median
$18,620.87
Typical High
$28,840.32
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$15,848.93
Typical High
$42,657.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$16,595.87
Typical High
$25,118.86
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$24,547.09
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$15,848.93
Typical High
$42,657.95
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$15,848.93
Typical High
$42,657.95
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$12,882.50
Typical High
$33,113.11

Where Massachusetts 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.

Massachusetts· 29th of 51

$17,378

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.