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Bilateral or Multiple Major Joint Procedures (with MCC)

Nationwide rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Rates data updated July 2026.

How much does Bilateral or Multiple Major Joint Procedures (with MCC) cost?

$38,905

Typical facility fee. Nationwide, July 2026.

Insurers have agreed to pay about $38,905 for this service. Most negotiated rates run $17,378 to $83,176.

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 44 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,905 ยท 10th to 90th $10,471 to $134,896
$5K$10K$20K$50K$100K$200Kfacility $38,905

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
$44,668.36
Median
$89,125.09
Typical High
$158,489.32
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$97,723.72
Typical High
$158,489.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$22,387.21
Typical High
$79,432.82
United
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$69,183.10
Typical High
$138,038.43

What it costs in each state

The same service costs 7.1 times more in Alaska than in Michigan. 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.

Touch or drag across the chart to see any state's rate.

AK $151,356MI $21,380

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.