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Revision of Hip or Knee Replacement with Major Complications

Virginia 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?

$81,283

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $81,283 for this service. Most negotiated rates run $44,668 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $81,283 · 10th to 90th $32,359 to $112,202
$10K$20K$50K$100Kfacility $81,283

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
$44,668.36
Median
$87,096.36
Typical High
$102,329.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$91,201.08
Typical High
$134,896.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$81,283.05
Typical High
$123,026.88
Sentara
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$75,857.76
Typical High
$107,151.93
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$45,708.82
Typical High
$141,253.75

Where Virginia 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.

Virginia· 23rd of 51

$81,283

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.