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Revision of Hip or Knee Replacement without Complications

Vermont 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?

$38,905

Typical facility fee. In Vermont, July 2026.

Insurers have agreed to pay about $38,905 for this service. Most negotiated rates run $35,481 to $75,858.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,905 · 10th to 90th $31,623 to $77,625
$50K$100Kfacility $38,905

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$70,794.58
Typical High
$77,624.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$38,904.51
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$31,622.78
Typical High
$97,723.72

Where Vermont 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.

Vermont· 31st of 51

$38,905

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.