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Revision of Hip or Knee Replacement without Complications

New York 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?

$70,795

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $70,795 for this service. Most negotiated rates run $47,863 to $85,114.

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 $70,795 · 10th to 90th $30,903 to $107,152
$20K$50K$100Kfacility $70,795

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
$22,387.21
Median
$56,234.13
Typical High
$107,151.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$81,283.05
Typical High
$100,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$75,857.76
Typical High
$100,000.00
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$67,608.30
Typical High
$138,038.43
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$25,118.86
Typical High
$25,118.86
United
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$60,255.96
Typical High
$102,329.30

Where New York 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.

New York· 1st of 51

$70,795

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.