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Revision of Hip or Knee Replacement with Major Complications

Massachusetts 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?

$79,433

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $79,433 for this service. Most negotiated rates run $48,978 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $79,433 · 10th to 90th $23,988 to $134,896
$1.0K$5.0K$20.0K$100.0Kfacility $79,433

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
$38,904.51
Median
$85,113.80
Typical High
$134,896.29
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$74,131.02
Typical High
$199,526.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$75,857.76
Typical High
$114,815.36
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$112,201.85
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$74,131.02
Typical High
$199,526.23
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$74,131.02
Typical High
$199,526.23
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$60,255.96
Typical High
$154,881.66

Where Massachusetts sits

The same service costs 6.3 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $79,433 · 25th of 51
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.