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Pennsylvania rates for MS-DRG 489

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

Facilitymedian $18,197 · 10th–90th $10,000$26,9150%10%10th90th$18,197$2.0K$5.0K$10.0K$20.0K$50.0K

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
$10,232.93 / $18,620.87 / $27,542.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $24,547.09 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $17,782.79 / $27,542.29
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $19,498.45 / $23,988.33
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $19,054.61 / $23,442.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $21,877.62 / $32,359.37
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $18,197.01 / $26,302.68
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $10,232.93 / $17,378.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $14,454.40 / $26,302.68