go back

Revision of Hip or Knee Replacement with Major Complications

Maine rates for MS-DRG 466

Revision of Hip or Knee Replacement with MCC

Rates data updated October 2026.

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

$120,226

Typical facility fee. In Maine, October 2026.

Insurers have agreed to pay about $120,226 for this service. Most negotiated rates run $95,499 to $154,882.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $120,226 · 10th to 90th $83,176 to $154,882
$50K$100Kfacility $120,226

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$87,096.36
Median
$120,226.44
Typical High
$154,881.66
Cigna
Setting
Facility
Modifier
None
Typical Low
$34,673.69
Median
$154,881.66
Typical High
$154,881.66
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$95,499.26
Median
$95,499.26
Typical High
$128,824.96

Where Maine sits

The same service costs 489.8 times more in Vermont than in Hawaii. 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.

Maine· 4th of 51

$120,226

VT $134,896HI $275

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.