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Major Joint Replacement or Reattachment (with MCC)

Ohio 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?

$42,658

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $42,658 for this service. Most negotiated rates run $30,903 to $56,234.

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 $42,658 · 10th to 90th $25,704 to $64,565
$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $42,658

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
$26,915.35
Median
$50,118.72
Typical High
$67,608.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$38,018.94
Typical High
$61,659.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$47,863.01
Typical High
$69,183.10
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$39,810.72
Typical High
$70,794.58
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$23,988.33
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$41,686.94
Typical High
$66,069.34

Where Ohio 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.

Ohio $42,658 · 32nd 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.