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Washington rates for MS-DRG 489

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

Facilitymedian $27,542 · 10th–90th $18,197–$46,7740%10%10th90th$27,542$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
$18,620.87 / $28,183.83 / $60,255.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $21,877.62 / $30,199.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $23,988.33 / $36,307.81
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $21,379.62 / $23,988.33
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $23,442.29 / $35,481.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $24,547.09 / $33,113.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $22,387.21 / $32,359.37