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Revision of Hip or Knee Replacement with Major Complications

Maine 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?

$97,724

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $97,724 for this service. Most negotiated rates run $69,183 to $102,329.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $97,724 · 10th to 90th $38,019 to $120,226
$50.0K$100.0Kfacility $97,724

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$102,329.30
Typical High
$120,226.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$67,608.30
Typical High
$154,881.66
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$83,176.38
Median
$83,176.38
Typical High
$83,176.38
United
Setting
Facility
Modifier
Global
Typical Low
$67,608.30
Median
$67,608.30
Typical High
$67,608.30

Where Maine 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.

Maine $97,724 · 11th 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.