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Revision of Hip or Knee Replacement with Major Complications

California rates for MS-DRG 466

Revision of hip or knee replacement w MCC

Rates data updated July 2026.

Facilitymedian $100,000 · 10th–90th $27,542$144,5440%20%10th90th$100,000$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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
$30,902.95
Median
$97,723.72
Typical High
$165,958.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$107,151.93
Typical High
$144,543.98
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$79,432.82
Typical High
$138,038.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$89,125.09
Typical High
$162,181.01
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$346.74
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$186,208.71
Median
$186,208.71
Typical High
$186,208.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$97,723.72
Typical High
$186,208.71
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$64,565.42
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$50,118.72
Typical High
$154,881.66