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Major Joint Replacement or Reattachment (with MCC)

New Jersey 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?

$67,608

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $67,608 for this service. Most negotiated rates run $51,286 to $83,176.

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 $67,608 · 10th to 90th $33,884 to $97,724
$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $67,608

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
$42,657.95
Median
$72,443.60
Typical High
$97,723.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$74,131.02
Typical High
$97,723.72
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$100,000.00
Median
$100,000.00
Typical High
$100,000.00
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$61,659.50
Typical High
$91,201.08
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$21,379.62
Typical High
$83,176.38

Where New Jersey 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.

New Jersey $67,608 · 10th 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.