go back

Major Joint Replacement or Reattachment (with MCC)

North Carolina rates for MS-DRG 469

Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with MCC or Total Ankle Replacement

Rates data updated October 2026.

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

$45,709

Typical facility fee. In North Carolina, October 2026.

Insurers have agreed to pay about $45,709 for this service. Most negotiated rates run $32,359 to $61,660.

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 $45,709 · 10th to 90th $25,704 to $75,858
$5K$10K$20K$50Kfacility $45,709

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$38,904.51
Typical High
$50,118.72
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$20,417.38
Median
$35,481.34
Typical High
$60,255.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$30,199.52
Median
$43,651.58
Typical High
$61,659.50
Medcost
Setting
Facility
Modifier
None
Typical Low
$23,442.29
Median
$26,915.35
Typical High
$43,651.58
United
Setting
Facility
Modifier
None
Typical Low
$34,673.69
Median
$64,565.42
Typical High
$85,113.80

Where North Carolina sits

The same service costs 302.0 times more in Alaska than in Hawaii. 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.

North Carolina· 29th of 51

$45,709

AK $83,176HI $275

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.