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Revision of Hip or Knee Replacement with Major Complications

Illinois 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?

$60,256

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $60,256 for this service. Most negotiated rates run $48,978 to $70,795.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $60,256 · 10th to 90th $3,890 to $87,096
$500$2K$10K$50Kfacility $60,256

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
$48,977.88
Median
$67,608.30
Typical High
$87,096.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$57,543.99
Typical High
$85,113.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$56,234.13
Typical High
$102,329.30
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$660.69
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$60,255.96
Typical High
$93,325.43

Where Illinois 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.

Illinois· 37th of 51

$60,256

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.