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Bilateral or Multiple Major Joint Procedures (with MCC)

New York 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?

$144,544

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $144,544 for this service. Most negotiated rates run $95,499 to $181,970.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $144,544 · 10th to 90th $60,256 to $213,796
$20K$50K$100K$200Kfacility $144,544

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
$114,815.36
Typical High
$213,796.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$109,647.82
Median
$177,827.94
Typical High
$223,872.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97,723.72
Median
$154,881.66
Typical High
$199,526.23
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$70,794.58
Median
$134,896.29
Typical High
$275,422.87
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$138,038.43
Median
$162,181.01
Typical High
$169,824.37
United
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$114,815.36
Typical High
$194,984.46

Where New York 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.

New York· 2nd of 51

$144,544

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.