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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.

Facilitymedian $134,896 · 10th–90th $53,703$204,1740%10%10th90th$134,896$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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