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Revision of Hip or Knee Replacement with Complications

Pennsylvania 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?

$52,481

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $52,481 for this service. Most negotiated rates run $34,674 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 $52,481 · 10th to 90th $26,915 to $77,625
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $52,481

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
$31,622.78
Median
$53,703.18
Typical High
$77,624.71
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$64,565.42
Typical High
$97,723.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$56,234.13
Typical High
$74,131.02
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$61,659.50
Median
$61,659.50
Typical High
$75,857.76
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$51,286.14
Typical High
$72,443.60
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$53,703.18
Typical High
$72,443.60
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$52,480.75
Typical High
$77,624.71
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$32,359.37
Typical High
$54,954.09
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$44,668.36
Typical High
$83,176.38

Where Pennsylvania 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.

Pennsylvania $52,481 · 27th 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.