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

New Jersey 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?

$26,303

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $26,303 for this service. Most negotiated rates run $19,498 to $30,903.

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 $26,303 · 10th to 90th $15,488 to $36,308
$10K$20K$50Kfacility $26,303

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
$16,982.44
Median
$26,915.35
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$26,915.35
Typical High
$35,481.34
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$19,952.62
Typical High
$19,952.62
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$24,547.09
Typical High
$37,153.52
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$14,454.40
Typical High
$30,902.95

Where New Jersey 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.

New Jersey· 10th of 51

$26,303

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.