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Revision of Hip or Knee Replacement with Major Complications

Ohio 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?

$74,131

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $74,131 for this service. Most negotiated rates run $60,256 to $95,499.

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 $74,131 · 10th to 90th $36,308 to $112,202
$20K$50K$100Kfacility $74,131

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
$60,255.96
Median
$89,125.09
Typical High
$117,489.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$67,608.30
Typical High
$104,712.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$81,283.05
Typical High
$117,489.76
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$67,608.30
Typical High
$120,226.44
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$40,738.03
Typical High
$102,329.30
United
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$61,659.50
Typical High
$112,201.85

Where Ohio 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.

Ohio· 28th of 51

$74,131

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.