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Revision of Hip or Knee Replacement with Major Complications

New Jersey 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?

$114,815

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $114,815 for this service. Most negotiated rates run $85,114 to $141,254.

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 $114,815 · 10th to 90th $56,234 to $165,959
$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $114,815

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
$72,443.60
Median
$125,892.54
Typical High
$165,958.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$125,892.54
Typical High
$165,958.69
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$61,659.50
Median
$100,000.00
Typical High
$151,356.12
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$21,379.62
Typical High
$144,543.98

Where New Jersey 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.

New Jersey $114,815 · 7th 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.