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Major Joint Replacement or Reattachment (with MCC)

New York 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?

$77,625

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $77,625 for this service. Most negotiated rates run $52,481 to $95,499.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $77,625 · 10th to 90th $33,884 to $117,490
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $77,625

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
$24,547.09
Median
$63,095.73
Typical High
$117,489.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$85,113.80
Typical High
$109,647.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$85,113.80
Typical High
$109,647.82
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$75,857.76
Typical High
$151,356.12
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$30,199.52
Typical High
$30,199.52
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$93,325.43
Median
$109,647.82
Typical High
$114,815.36
United
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$64,565.42
Typical High
$109,647.82

Where New York 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 York $77,625 · 2nd 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.