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Major Joint Replacement or Reattachment (without MCC)

New York rates for MS-DRG 470

Major joint replacement or reattachment of lower extremity w/o MCC

Rates data updated July 2026.

How much does Major Joint Replacement or Reattachment (without MCC) cost?

$50,119

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $50,119 for this service. Most negotiated rates run $33,113 to $66,069.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $50,119 · 10th to 90th $21,380 to $81,283
$10K$20K$50K$100Kfacility $50,119

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
$18,620.87
Median
$41,686.94
Typical High
$75,857.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$63,095.73
Typical High
$81,283.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$53,703.18
Typical High
$69,183.10
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$47,863.01
Typical High
$95,499.26
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$20,892.96
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$25,703.96
Typical High
$39,810.72
United
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$41,686.94
Typical High
$70,794.58

Where New York sits

The same service costs 3.2 times more in California than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 2nd of 51

$50,119

CA $50,119NM $15,488

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.