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Revision of Hip or Knee Replacement with Major Complications

Pennsylvania rates for MS-DRG 466

Revision of hip or knee replacement w MCC

Rates data updated July 2026.

Facilitymedian $79,433 · 10th–90th $37,154$114,8150%10%10th90th$79,433$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$42,657.95
Median
$79,432.82
Typical High
$114,815.36
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$97,723.72
Typical High
$144,543.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$77,624.71
Typical High
$109,647.82
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$91,201.08
Median
$91,201.08
Typical High
$112,201.85
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$85,113.80
Typical High
$104,712.85
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$89,125.09
Typical High
$162,181.01
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$77,624.71
Typical High
$114,815.36
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$56,234.13
Typical High
$91,201.08
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$66,069.34
Typical High
$123,026.88