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Major Joint Replacement or Reattachment (without MCC)

Pennsylvania 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?

$28,840

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $20,893 to $37,154.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28,840 · 10th to 90th $16,218 to $45,709
$5K$10K$20K$50Kfacility $28,840

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
$17,782.79
Median
$31,622.78
Typical High
$47,863.01
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$38,904.51
Typical High
$48,977.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$30,199.52
Typical High
$46,773.51
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$31,622.78
Typical High
$31,622.78
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$32,359.37
Typical High
$38,904.51
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$30,902.95
Typical High
$44,668.36
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$28,840.32
Typical High
$45,708.82
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$17,782.79
Typical High
$30,199.52
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$25,703.96
Typical High
$44,668.36

Where Pennsylvania 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.

Pennsylvania· 30th of 51

$28,840

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.