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Texas rates for MS-DRG 489

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

Facilitymedian $15,849 · 10th–90th $7,943$27,5420%10%10th90th$15,849$2.0K$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
$11,481.54 / $16,218.10 / $26,302.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $13,182.57 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $18,620.87 / $36,307.81
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $39,810.72 / $39,810.72
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $15,848.93 / $26,302.68
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $15,135.61 / $36,307.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $12,589.25 / $28,183.83