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Revision of Hip or Knee Replacement without Complications

California rates for MS-DRG 468

Revision of hip or knee replacement w/o CC/MCC

Rates data updated July 2026.

How much does Revision of Hip or Knee Replacement without Complications cost?

$69,183

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $69,183 for this service. Most negotiated rates run $38,905 to $100,000.

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 $69,183 · 10th to 90th $16,596 to $100,000
$500$2K$10K$50Kfacility $69,183

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
$28,840.32
Median
$60,255.96
Typical High
$97,723.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$75,857.76
Typical High
$100,000.00
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$43,651.58
Typical High
$104,712.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$47,863.01
Typical High
$104,712.85
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
$97,723.72
Median
$97,723.72
Typical High
$97,723.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$52,480.75
Typical High
$107,151.93
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$60,255.96
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$36,307.81
Typical High
$93,325.43

Where California sits

The same service costs 3.3 times more in New York than in Michigan. 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.

California· 2nd of 51

$69,183

NY $70,795MI $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.