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Bilateral or Multiple Major Joint Procedures (with MCC)

Wisconsin 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 Wisconsin, July 2026.

Insurers have agreed to pay about $100,000 for this service. Most negotiated rates run $77,625 to $123,027.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $100,000 · 10th to 90th $56,234 to $147,911
$1K$2K$5K$10K$20K$50K$100Kfacility $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
$83,176.38
Median
$97,723.72
Typical High
$102,329.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$104,712.85
Typical High
$151,356.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70,794.58
Median
$89,125.09
Typical High
$154,881.66
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$72,443.60
Median
$83,176.38
Typical High
$104,712.85
Medica
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$89,125.09
Typical High
$158,489.32
Quartz
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$63,095.73
Typical High
$83,176.38
Security Health
Setting
Facility
Modifier
Global
Typical Low
$91,201.08
Median
$114,815.36
Typical High
$117,489.76
United
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$93,325.43
Typical High
$128,824.96

Where Wisconsin 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.

Wisconsin· 15th 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.