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Major Joint Replacement or Reattachment (with MCC)

Pennsylvania 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?

$45,709

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $45,709 for this service. Most negotiated rates run $31,623 to $58,884.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $45,709 · 10th to 90th $25,119 to $70,795
$2.0K$10.0K$50.0K$200.0Kfacility $45,709

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
$27,542.29
Median
$50,118.72
Typical High
$72,443.60
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$58,884.37
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$47,863.01
Typical High
$67,608.30
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$64,565.42
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$50,118.72
Typical High
$61,659.50
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$63,095.73
Typical High
$831,763.77
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$44,668.36
Typical High
$70,794.58
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$28,183.83
Typical High
$47,863.01
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$38,904.51
Typical High
$70,794.58

Where Pennsylvania 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.

Pennsylvania $45,709 · 27th 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.