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

West Virginia 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?

$12,023

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $12,023 for this service. Most negotiated rates run $11,482 to $14,125.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $12,023 · 10th to 90th $10,471 to $16,596
$5K$10K$20Kfacility $12,023

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$10,471.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$15,488.17
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$12,302.69
Typical High
$15,848.93

Where West Virginia 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.

West Virginia· 45th of 51

$12,023

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.