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Major Joint Replacement or Reattachment (with MCC)

Maine 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?

$46,774

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $46,774 for this service. Most negotiated rates run $46,774 to $46,774.

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 $46,774 · 10th to 90th $46,774 to $60,256
$20.0K$50.0K$100.0Kfacility $46,774

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
$46,773.51
Median
$46,773.51
Typical High
$46,773.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$60,255.96
Typical High
$67,608.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$39,810.72
Typical High
$91,201.08
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$47,863.01
Typical High
$47,863.01
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$46,773.51
Typical High
$46,773.51
United
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$38,904.51

Where Maine 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.

Maine $46,774 · 26th 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.