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Bilateral or Multiple Major Joint Procedures (without MCC)

Maine 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?

$50,119

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $50,119 for this service. Most negotiated rates run $40,738 to $52,481.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $50,119 · 10th to 90th $34,674 to $61,660
$20K$50Kfacility $50,119

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$52,480.75
Typical High
$61,659.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$40,738.03
Typical High
$79,432.82
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$48,977.88
Typical High
$48,977.88
United
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$34,673.69
Typical High
$34,673.69

Where Maine 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.

Maine· 14th of 51

$50,119

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.