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Revision of Hip or Knee Replacement with Complications

Maine 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?

$66,069

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $66,069 for this service. Most negotiated rates run $47,863 to $70,795.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $66,069 · 10th to 90th $34,674 to $81,283
$50.0K$100.0Kfacility $66,069

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$70,794.58
Typical High
$81,283.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$45,708.82
Typical High
$104,712.85
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
United
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$45,708.82
Typical High
$45,708.82

Where Maine 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.

Maine $66,069 · 12th 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.