go back

Revision of Hip or Knee Replacement with Complications

New York rates for MS-DRG 467

Revision of Hip or Knee Replacement with CC

Rates data updated October 2026.

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

$91,201

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $91,201 for this service. Most negotiated rates run $66,069 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $91,201 · 10th to 90th $43,652 to $138,038
$5K$10K$20K$50K$100K$200Kfacility $91,201

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$30,199.52
Median
$72,443.60
Typical High
$138,038.43
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$67,608.30
Median
$104,712.85
Typical High
$141,253.75
Cigna
Setting
Facility
Modifier
None
Typical Low
$53,703.18
Median
$89,125.09
Typical High
$125,892.54
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$51,286.14
Median
$93,325.43
Typical High
$173,780.08
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$34,673.69
Typical High
$35,481.34
United
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$66,069.34
Typical High
$131,825.67

Where New York sits

The same service costs 331.1 times more in Alaska than in Hawaii. 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.

New York· 2nd of 51

$91,201

AK $91,201HI $275

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.