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Revision of Hip or Knee Replacement with Major Complications

New York 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?

$134,896

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $134,896 for this service. Most negotiated rates run $89,125 to $169,824.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $134,896 · 10th to 90th $53,703 to $204,174
$20K$50K$100K$200Kfacility $134,896

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
$41,686.94
Median
$107,151.93
Typical High
$204,173.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$107,151.93
Median
$169,824.37
Typical High
$213,796.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93,325.43
Median
$144,543.98
Typical High
$186,208.71
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$125,892.54
Typical High
$263,026.80
United
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$107,151.93
Typical High
$177,827.94

Where New York sits

The same service costs 6.3 times more in New York than in Michigan. 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.

New York· 1st of 51

$134,896

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.