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

Maine 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?

$20,893

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $20,893 for this service. Most negotiated rates run $17,378 to $22,387.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $20,893 · 10th to 90th $14,454 to $26,303
$10K$20Kfacility $20,893

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$22,387.21
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$17,378.01
Typical High
$33,884.42
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$20,417.38
Typical High
$20,417.38
United
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$14,454.40

Where Maine 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.

Maine· 18th of 51

$20,893

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.