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Bilateral or Multiple Major Joint Procedures (with MCC)

Ohio 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?

$79,433

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $79,433 for this service. Most negotiated rates run $64,565 to $102,329.

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 $79,433 · 10th to 90th $40,738 to $117,490
$50K$100Kfacility $79,433

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
$64,565.42
Median
$93,325.43
Typical High
$131,825.67
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$72,443.60
Typical High
$112,201.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$87,096.36
Typical High
$125,892.54
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$72,443.60
Typical High
$128,824.96
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$43,651.58
Typical High
$109,647.82
United
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$69,183.10
Typical High
$117,489.76

Where Ohio 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.

Ohio· 31st of 51

$79,433

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.