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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.

How much does Revision of Hip or Knee Replacement with Major Complications cost?

$100,000

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $100,000 for this service. Most negotiated rates run $40,738 to $109,648.

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 $100,000 · 10th to 90th $27,542 to $144,544
$500$2K$10K$50K$200Kfacility $100,000

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
$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

Where California sits

The same service costs 6.3 times more in New York than in Michigan. 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.

California· 9th of 51

$100,000

NY $134,896MI $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.