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Revision of Hip or Knee Replacement with Major Complications

North Carolina 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?

$63,096

Typical facility fee. In North Carolina, October 2026.

Insurers have agreed to pay about $63,096 for this service. Most negotiated rates run $48,978 to $85,114.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $63,096 · 10th to 90th $33,113 to $104,713
$5K$10K$20K$50K$100Kfacility $63,096

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$46,773.51
Typical High
$77,624.71
Ambetter
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$60,255.96
Typical High
$102,329.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$50,118.72
Median
$75,857.76
Typical High
$107,151.93
Medcost
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$38,018.94
Typical High
$60,255.96
United
Setting
Facility
Modifier
None
Typical Low
$51,286.14
Median
$70,794.58
Typical High
$104,712.85

Where North Carolina 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.

North Carolina· 37th of 51

$63,096

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.