go back

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

Washington 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?

$26,303

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $26,303 for this service. Most negotiated rates run $20,417 to $30,903.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $26,303 · 10th to 90th $16,218 to $38,905
$10K$20K$50Kfacility $26,303

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
$18,620.87
Median
$28,183.83
Typical High
$46,773.51
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$25,118.86
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$23,988.33
Typical High
$36,307.81
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$21,379.62
Typical High
$23,988.33
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$23,442.29
Typical High
$35,481.34
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$25,118.86
Typical High
$34,673.69
United
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$22,387.21
Typical High
$32,359.37

Where Washington 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.

Washington· 8th of 51

$26,303

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.