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Major Joint Replacement or Reattachment (with MCC)

California rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Rates data updated July 2026.

How much does Major Joint Replacement or Reattachment (with MCC) cost?

$75,858

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $75,858 for this service. Most negotiated rates run $38,905 to $87,096.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $75,858 · 10th to 90th $16,596 to $95,499
$100.0$1.0K$10.0K$100.0Kfacility $75,858

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
$16,982.44
Median
$58,884.37
Typical High
$102,329.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$85,113.80
Typical High
$95,499.26
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$51,286.14
Typical High
$112,201.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$52,480.75
Typical High
$107,151.93
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$17,782.79
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$109,647.82
Median
$109,647.82
Typical High
$109,647.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$57,543.99
Typical High
$109,647.82
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$39,810.72
Typical High
$91,201.08

Where California sits

The same service costs 3.7 times more in Alaska than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $75,858 · 3rd of 51
AK $79,433MI $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.