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Revision of Hip or Knee Replacement without Complications

Washington 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?

$60,256

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $60,256 for this service. Most negotiated rates run $46,774 to $74,131.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $60,256 · 10th to 90th $35,481 to $91,201
$20K$50K$100Kfacility $60,256

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
$45,708.82
Median
$70,794.58
Typical High
$114,815.36
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$54,954.09
Typical High
$77,624.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$58,884.37
Typical High
$89,125.09
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$46,773.51
Typical High
$51,286.14
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$50,118.72
Typical High
$75,857.76
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$53,703.18
Typical High
$74,131.02
United
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$52,480.75
Typical High
$77,624.71

Where Washington 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.

Washington· 8th of 51

$60,256

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.