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Revision of Hip or Knee Replacement with Major Complications

Wisconsin 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?

$95,499

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $95,499 for this service. Most negotiated rates run $72,444 to $114,815.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $95,499 · 10th to 90th $52,481 to $141,254
$1K$2K$5K$10K$20K$50K$100Kfacility $95,499

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
$77,624.71
Median
$93,325.43
Typical High
$95,499.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$100,000.00
Typical High
$144,543.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67,608.30
Median
$89,125.09
Typical High
$147,910.84
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$67,608.30
Median
$77,624.71
Typical High
$100,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$85,113.80
Typical High
$151,356.12
Quartz
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$58,884.37
Typical High
$77,624.71
Security Health
Setting
Facility
Modifier
Global
Typical Low
$85,113.80
Median
$107,151.93
Typical High
$112,201.85
United
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$87,096.36
Typical High
$123,026.88

Where Wisconsin 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.

Wisconsin· 12th of 51

$95,499

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.