go back

Bilateral or Multiple Major Joint Procedures (without MCC)

California rates for MS-DRG 462

Bilateral or multiple major joint procs of lower extremity w/o MCC

Rates data updated July 2026.

How much does Bilateral or Multiple Major Joint Procedures (without MCC) cost?

$69,183

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $69,183 for this service. Most negotiated rates run $38,905 to $134,896.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69,183 · 10th to 90th $19,953 to $141,254
$500$2K$10K$50Kfacility $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
$16,982.44
Median
$58,884.37
Typical High
$112,201.85
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$95,499.26
Typical High
$141,253.75
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$46,773.51
Typical High
$123,026.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$50,118.72
Typical High
$112,201.85
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$346.74
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$95,499.26
Median
$95,499.26
Typical High
$95,499.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$53,703.18
Typical High
$144,543.98
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$85,113.80
Median
$85,113.80
Typical High
$85,113.80
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$39,810.72
Typical High
$104,712.85

Where California sits

The same service costs 3.3 times more in Alaska than in New Mexico. 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.

California· 3rd of 51

$69,183

AK $70,795NM $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.