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Bilateral or Multiple Major Joint Procedures (with MCC)

Rhode Island 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?

$89,125

Typical facility fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $89,125 for this service. Most negotiated rates run $48,978 to $128,825.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $89,125 · 10th to 90th $9,772 to $194,984
$10K$20K$50K$100Kfacility $89,125

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$83,176.38
Median
$128,824.96
Typical High
$194,984.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89,125.09
Median
$114,815.36
Typical High
$151,356.12
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$10,000.00
Typical High
$79,432.82

Where Rhode Island 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.

Rhode Island· 22nd of 51

$89,125

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.