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Bilateral or Multiple Major Joint Procedures (with MCC)

California 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?

$134,896

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $134,896 for this service. Most negotiated rates run $46,774 to $144,544.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $134,896 · 10th to 90th $28,840 to $158,489
$500$2K$10K$50K$200Kfacility $134,896

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
$16,982.44
Median
$120,226.44
Typical High
$177,827.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$138,038.43
Typical High
$154,881.66
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$95,499.26
Typical High
$177,827.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$93,325.43
Typical High
$173,780.08
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$346.74
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$199,526.23
Median
$199,526.23
Typical High
$199,526.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$104,712.85
Typical High
$194,984.46
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$89,125.09
Median
$89,125.09
Typical High
$89,125.09
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$60,255.96
Typical High
$165,958.69

Where California sits

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.

California· 3rd of 51

$134,896

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.