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Revision of Hip or Knee Replacement with Major Complications

Texas 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?

$61,660

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $61,660 for this service. Most negotiated rates run $41,687 to $100,000.

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 $61,660 · 10th to 90th $26,303 to $131,826
$20K$50K$100Kfacility $61,660

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
$23,442.29
Median
$75,857.76
Typical High
$123,026.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$54,954.09
Typical High
$112,201.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$77,624.71
Typical High
$162,181.01
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$186,208.71
Median
$186,208.71
Typical High
$186,208.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$64,565.42
Typical High
$169,824.37
United
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$47,863.01
Typical High
$104,712.85

Where Texas 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.

Texas· 35th of 51

$61,660

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.