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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 with MCC

Rates data updated October 2026.

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

$79,433

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $79,433 for this service. Most negotiated rates run $47,863 to $97,724.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $79,433 · 10th to 90th $37,154 to $117,490
$5K$10K$20K$50K$100Kfacility $79,433

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
$46,773.51
Median
$85,113.80
Typical High
$123,026.88
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$95,499.26
Typical High
$131,825.67
Cigna
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$83,176.38
Typical High
$125,892.54
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$91,201.08
Median
$91,201.08
Typical High
$112,201.85
Geisinger
Setting
Facility
Modifier
None
Typical Low
$27,542.29
Median
$70,794.58
Typical High
$104,712.85
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$43,651.58
Median
$79,432.82
Typical High
$112,201.85
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$46,773.51
Median
$85,113.80
Typical High
$123,026.88
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$39,810.72
Median
$46,773.51
Typical High
$81,283.05
United
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$70,794.58
Typical High
$114,815.36

Where Pennsylvania 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.

Pennsylvania· 20th of 51

$79,433

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.