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Bilateral or Multiple Major Joint Procedures (with MCC)

Texas 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?

$69,183

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $69,183 for this service. Most negotiated rates run $45,709 to $97,724.

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 $69,183 · 10th to 90th $28,184 to $134,896
$20K$50K$100K$200Kfacility $69,183

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
$27,542.29
Median
$77,624.71
Typical High
$128,824.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$63,095.73
Typical High
$112,201.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$89,125.09
Typical High
$177,827.94
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$199,526.23
Median
$199,526.23
Typical High
$199,526.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$72,443.60
Typical High
$177,827.94
United
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$50,118.72
Typical High
$112,201.85

Where Texas 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.

Texas· 33rd of 51

$69,183

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.