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Bilateral or Multiple Major Joint Procedures (without MCC)

Ohio 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?

$40,738

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $40,738 for this service. Most negotiated rates run $33,113 to $50,119.

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 $40,738 · 10th to 90th $26,303 to $58,884
$20K$50Kfacility $40,738

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
$32,359.37
Median
$46,773.51
Typical High
$64,565.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$38,904.51
Typical High
$56,234.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$41,686.94
Typical High
$60,255.96
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$34,673.69
Typical High
$61,659.50
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$20,892.96
Typical High
$52,480.75
United
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$38,018.94
Typical High
$61,659.50

Where Ohio 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.

Ohio· 29th of 51

$40,738

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.