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Bilateral or Multiple Major Joint Procedures (with MCC)

Idaho 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?

$81,283

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $81,283 for this service. Most negotiated rates run $64,565 to $104,713.

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 $81,283 · 10th to 90th $48,978 to $141,254
$20K$50K$100Kfacility $81,283

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
$48,977.88
Median
$48,977.88
Typical High
$87,096.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$75,857.76
Typical High
$141,253.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131,825.67
Median
$147,910.84
Typical High
$181,970.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$89,125.09
Median
$102,329.30
Typical High
$125,892.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$61,659.50
Median
$91,201.08
Typical High
$141,253.75
Select Health
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$81,283.05
Typical High
$131,825.67
United
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$77,624.71
Typical High
$81,283.05

Where Idaho 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.

Idaho· 28th of 51

$81,283

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.