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Revision of Hip or Knee Replacement without Complications

Pennsylvania 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?

$41,687

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $41,687 for this service. Most negotiated rates run $30,200 to $52,481.

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 $41,687 · 10th to 90th $22,909 to $63,096
$10K$20K$50Kfacility $41,687

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
$24,547.09
Median
$42,657.95
Typical High
$63,095.73
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$51,286.14
Typical High
$77,624.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$43,651.58
Typical High
$64,565.42
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$48,977.88
Typical High
$58,884.37
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$45,708.82
Typical High
$56,234.13
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$44,668.36
Typical High
$56,234.13
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$40,738.03
Typical High
$61,659.50
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$29,512.09
Typical High
$44,668.36
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$35,481.34
Typical High
$64,565.42

Where Pennsylvania 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.

Pennsylvania· 27th of 51

$41,687

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.