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Bilateral or Multiple Major Joint Procedures (without MCC)

Illinois 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?

$30,903

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $30,903 for this service. Most negotiated rates run $25,119 to $37,154.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $30,903 · 10th to 90th $3,890 to $46,774
$200$1K$5K$20Kfacility $30,903

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
$26,302.68
Median
$33,884.42
Typical High
$46,773.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$30,199.52
Typical High
$45,708.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$29,512.09
Typical High
$52,480.75
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$338.84
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$33,113.11
Typical High
$47,863.01

Where Illinois 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.

Illinois· 41st of 51

$30,903

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.