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Bilateral or Multiple Major Joint Procedures (without MCC)

New York 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 New York, July 2026.

Insurers have agreed to pay about $69,183 for this service. Most negotiated rates run $45,709 to $89,125.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69,183 · 10th to 90th $28,840 to $107,152
$20K$50K$100Kfacility $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
$21,379.62
Median
$54,954.09
Typical High
$104,712.85
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$87,096.36
Typical High
$109,647.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$74,131.02
Typical High
$95,499.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$66,069.34
Typical High
$134,896.29
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$95,499.26
Median
$117,489.76
Typical High
$144,543.98
United
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$60,255.96
Typical High
$102,329.30

Where New York 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.

New York· 4th 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.