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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 with MCC

Rates data updated October 2026.

How much does Revision of Hip or Knee Replacement with Major Complications cost?

$134,896

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $134,896 for this service. Most negotiated rates run $97,724 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 $66,069 to $204,174
$5K$10K$20K$50K$100K$200Kfacility $134,896

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
$42,657.95
Median
$104,712.85
Typical High
$204,173.79
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$100,000.00
Median
$154,881.66
Typical High
$204,173.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$79,432.82
Median
$131,825.67
Typical High
$186,208.71
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$75,857.76
Median
$138,038.43
Typical High
$257,039.58
United
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$93,325.43
Typical High
$186,208.71

Where New York 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.

New York· 2nd of 51

$134,896

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.