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Major Joint Replacement or Reattachment (with MCC)

Illinois 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?

$34,674

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $34,674 for this service. Most negotiated rates run $28,184 to $41,687.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $34,674 · 10th to 90th $3,890 to $51,286
$100.0$1.0K$10.0K$100.0Kfacility $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
$28,840.32
Median
$38,904.51
Typical High
$51,286.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$33,884.42
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$32,359.37
Typical High
$60,255.96
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$380.19
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$34,673.69
Typical High
$53,703.18

Where Illinois 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.

Illinois $34,674 · 41st 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.