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Revision of Hip or Knee Replacement with Complications

Pennsylvania 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?

$53,703

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $53,703 for this service. Most negotiated rates run $33,884 to $66,069.

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 $53,703 · 10th to 90th $26,915 to $79,433
$5K$10K$20K$50K$100Kfacility $53,703

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
$31,622.78
Median
$57,543.99
Typical High
$83,176.38
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$64,565.42
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$58,884.37
Typical High
$87,096.36
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$61,659.50
Median
$61,659.50
Typical High
$75,857.76
Geisinger
Setting
Facility
Modifier
None
Typical Low
$25,703.96
Median
$47,863.01
Typical High
$72,443.60
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$34,673.69
Median
$53,703.18
Typical High
$79,432.82
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$31,622.78
Median
$57,543.99
Typical High
$83,176.38
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$32,359.37
Typical High
$54,954.09
United
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$48,977.88
Typical High
$77,624.71

Where Pennsylvania 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.

Pennsylvania· 24th of 51

$53,703

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.