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Major Joint Replacement or Reattachment (with MCC)

Wisconsin rates for MS-DRG 469

Major joint replacement or reattachment of lower extremity w MCC

Rates data updated July 2026.

Facilitymedian $54,954 · 10th–90th $30,903$81,2830%10%10th90th$54,954$500.0$2.0K$10.0K$50.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$53,703.18
Typical High
$56,234.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$57,543.99
Typical High
$83,176.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$51,286.14
Typical High
$85,113.80
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$45,708.82
Typical High
$57,543.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$48,977.88
Typical High
$87,096.36
Quartz
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$34,673.69
Typical High
$44,668.36
Security Health
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$61,659.50
Typical High
$64,565.42
United
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$51,286.14
Typical High
$70,794.58