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Bilateral or Multiple Major Joint Procedures (with MCC)

South Dakota 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?

$63,096

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $63,096 for this service. Most negotiated rates run $58,884 to $63,096.

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 $63,096 · 10th to 90th $40,738 to $89,125
$50K$100Kfacility $63,096

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
$58,884.37
Median
$77,624.71
Typical High
$77,624.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$63,095.73
Typical High
$63,095.73
Medica
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$51,286.14
Typical High
$100,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$66,069.34
Typical High
$95,499.26

Where South Dakota 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 Dakota· 39th of 51

$63,096

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.