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Bilateral or Multiple Major Joint Procedures (with MCC)

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $81,283 for this service. Most negotiated rates run $60,256 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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $81,283 · 10th to 90th $46,774 to $120,226
$10K$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
$50,118.72
Median
$83,176.38
Typical High
$120,226.44
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$93,325.43
Typical High
$165,958.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$83,176.38
Typical High
$123,026.88
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$97,723.72
Median
$97,723.72
Typical High
$117,489.76
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$89,125.09
Typical High
$109,647.82
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$81,283.05
Typical High
$120,226.44
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$60,255.96
Typical High
$97,723.72
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$72,443.60
Typical High
$128,824.96

Where Pennsylvania 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.

Pennsylvania· 29th 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.