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New Jersey rates for MS-DRG 489

Knee procedures w/o pdx of infection w/o CC/MCC

Facilitymedian $26,915 · 10th–90th $16,596$36,3080%10%10th90th$26,915$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $26,915.35 / $36,307.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $26,915.35 / $35,481.34
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $19,952.62 / $19,952.62
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $26,915.35 / $41,686.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $16,595.87 / $30,902.95