go back

Bilateral or Multiple Major Joint Procedures (with MCC)

South Carolina 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?

$100,000

Typical facility fee. In South Carolina, July 2026.

Insurers have agreed to pay about $100,000 for this service. Most negotiated rates run $74,131 to $158,489.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $100,000 · 10th to 90th $39,811 to $218,776
$20K$50K$100K$200Kfacility $100,000

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
$87,096.36
Median
$131,825.67
Typical High
$251,188.64
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$95,499.26
Typical High
$190,546.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$97,723.72
Typical High
$165,958.69
United
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$114,815.36
Typical High
$194,984.46

Where South Carolina 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.

South Carolina· 13th of 51

$100,000

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.