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Major Joint Replacement or Reattachment (with MCC)

Vermont rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Rates data updated July 2026.

Facilitymedian $42,658 · 10th–90th $34,674$85,1140%20%10th90th$42,658$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$77,624.71
Typical High
$85,113.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$42,657.95
Typical High
$85,113.80
United
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$34,673.69
Typical High
$107,151.93