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Major Joint Replacement or Reattachment (with MCC)

West 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?

$28,184

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $28,184 for this service. Most negotiated rates run $25,119 to $32,359.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28,184 · 10th to 90th $24,547 to $52,481
$5.0K$10.0K$20.0K$50.0Kfacility $28,184

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$28,183.83
Typical High
$28,183.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$41,686.94
Typical High
$57,543.99
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$63,095.73
Typical High
$63,095.73
United
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$25,118.86
Typical High
$41,686.94

Where West 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.

West Virginia $28,184 · 47th 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.