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

Pennsylvania 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?

$16,982

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $16,982 for this service. Most negotiated rates run $12,023 to $22,387.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $16,982 · 10th to 90th $9,550 to $28,184
$5K$10K$20Kfacility $16,982

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
$10,000.00
Median
$18,620.87
Typical High
$28,183.83
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$25,118.86
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$17,782.79
Typical High
$27,542.29
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$23,988.33
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$19,054.61
Typical High
$23,988.33
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$21,877.62
Typical High
$30,199.52
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$16,982.44
Typical High
$26,302.68
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$10,715.19
Typical High
$17,782.79
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$14,791.08
Typical High
$26,302.68

Where Pennsylvania 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.

Pennsylvania· 30th of 51

$16,982

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.