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Bilateral or Multiple Major Joint Procedures (without MCC)

Texas 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?

$34,674

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $34,674 for this service. Most negotiated rates run $24,547 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 $34,674 · 10th to 90th $19,498 to $72,444
$20K$50K$100Kfacility $34,674

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
$38,018.94
Typical High
$63,095.73
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$31,622.78
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$43,651.58
Typical High
$85,113.80
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$95,499.26
Median
$95,499.26
Typical High
$95,499.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$34,673.69
Typical High
$87,096.36
United
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$27,542.29
Typical High
$58,884.37

Where Texas 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.

Texas· 33rd of 51

$34,674

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.