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Revision of Hip or Knee Replacement with Complications

California rates for MS-DRG 467

Revision of hip or knee replacement w CC

Rates data updated July 2026.

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

$87,096

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $87,096 for this service. Most negotiated rates run $38,905 to $117,490.

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 $87,096 · 10th to 90th $26,915 to $120,226
$100.0$1.0K$10.0K$100.0Kfacility $87,096

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
$30,902.95
Median
$77,624.71
Typical High
$125,892.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$112,201.85
Typical High
$120,226.44
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$56,234.13
Typical High
$131,825.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$60,255.96
Typical High
$134,896.29
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$346.74
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$125,892.54
Median
$125,892.54
Typical High
$125,892.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$66,069.34
Typical High
$138,038.43
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$72,443.60
Median
$72,443.60
Typical High
$72,443.60
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$41,686.94
Typical High
$112,201.85

Where California sits

The same service costs 4.3 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $87,096 · 2nd of 51
NY $91,201MI $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.