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Bilateral or Multiple Major Joint Procedures (without MCC)

Idaho 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?

$44,668

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $44,668 for this service. Most negotiated rates run $33,884 to $61,660.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $44,668 · 10th to 90th $27,542 to $77,625
$20K$50K$100Kfacility $44,668

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
$23,442.29
Median
$23,442.29
Typical High
$41,686.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$46,773.51
Typical High
$74,131.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$70,794.58
Typical High
$89,125.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$46,773.51
Typical High
$64,565.42
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$40,738.03
Typical High
$61,659.50
Select Health
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$38,018.94
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$37,153.52
Typical High
$79,432.82

Where Idaho 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.

Idaho· 22nd of 51

$44,668

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.