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Bilateral or Multiple Major Joint Procedures (with MCC)

Vermont 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?

$79,433

Typical facility fee. In Vermont, July 2026.

Insurers have agreed to pay about $79,433 for this service. Most negotiated rates run $70,795 to $154,882.

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 $79,433 · 10th to 90th $63,096 to $154,882
$100Kfacility $79,433

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$70,794.58
Median
$141,253.75
Typical High
$154,881.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$79,432.82
Typical High
$154,881.66
United
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$63,095.73
Typical High
$194,984.46

Where Vermont 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.

Vermont· 30th of 51

$79,433

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.