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Major Joint Replacement or Reattachment (with MCC)

Virginia 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?

$47,863

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $47,863 for this service. Most negotiated rates run $35,481 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $47,863 · 10th to 90th $26,915 to $69,183
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $47,863

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
$39,810.72
Median
$52,480.75
Typical High
$85,113.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$54,954.09
Typical High
$75,857.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$47,863.01
Typical High
$72,443.60
Sentara
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$44,668.36
Typical High
$61,659.50
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$39,810.72
Typical High
$81,283.05

Where Virginia 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.

Virginia $47,863 · 24th 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.