Major hip and knee joint replacement or reattachment of lower extremity without major complications
What 1,212 hospitals in the U.S. charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.
Average charge
$92,976
Hospital list price billed
Average payment
$17,318
Medicare + patient + other payers
Medicare paid
$14,289
Average per stay
Volume
59,121
Medicare hospital stays
Hospitals in the U.S. billed an average of $92,976 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 5.4 times the average total payment of $17,318.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $17,318Billed $92,976
About 19¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Fletcher Allen Hospital of VermontBurlington, VT | $9,520 |
|---|---|
| Southwest General Health CenterMiddleburg Heights, OH | $11,654 |
| East Cooper Reg Med CenterMt Pleasant, SC | $11,697 |
| Surgical Hospital at SouthwoodsYoungstown, OH | $11,755 |
| Sterling Surgical HospitalSlidell, LA | $11,773 |
| Kansas Surgery & Recovery CenterWichita, KS | $11,800 |
| Summit Surgical LLCHutchinson, KS | $11,810 |
| Mount Pleasant HospitalMount Pleasant, SC | $11,821 |
| Crystal Clinic Orthopaedic CenterAkron, OH | $11,829 |
| Institute for Orthopedic SurgeryLima, OH | $11,850 |
Highest
| Sinai Hospital of BaltimoreBaltimore, MD | $35,542 |
|---|---|
| San Francisco General HospitalSan Francisco, CA | $33,951 |
| University of Illinois Hospital and ClinicsChicago, IL | $32,599 |
| UCSF Medical CenterSan Francisco, CA | $32,373 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | $31,274 |
| Montefiore Medical CenterBronx, NY | $31,015 |
| Stanford HospitalPalo Alto, CA | $30,883 |
| Sutter Solano Medical CenterVallejo, CA | $30,014 |
| Doctors' Community HospitalLanham, MD | $29,890 |
| UCI Health-OrangeOrange, CA | $29,813 |
Major hip and knee joint replacement or reattachment of lower extremity without major complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 24 | $103,212 | $14,555 | $11,868 – $27,608 |
| Alaska | 3 | $128,229 | $22,368 | $17,946 – $31,008 |
| Arizona | 29 | $111,317 | $15,381 | $13,226 – $25,567 |
| Arkansas | 10 | $60,567 | $12,966 | $11,854 – $15,807 |
| California | 119 | $139,092 | $21,622 | $11,129 – $37,686 |
| Colorado | 17 | $151,836 | $15,835 | $13,828 – $22,000 |
| Connecticut | 12 | $63,224 | $19,326 | $16,516 – $29,400 |
| Delaware | 1 | $58,521 | $16,994 | – |
| Florida | 88 | $141,350 | $15,466 | $12,075 – $25,737 |
| Georgia | 27 | $96,366 | $16,511 | $12,626 – $25,338 |
| Hawaii | 2 | $67,298 | $20,777 | $19,776 – $21,588 |
| Idaho | 7 | $77,034 | $15,223 | $13,353 – $19,633 |
| Illinois | 45 | $77,882 | $16,408 | $13,162 – $32,599 |
| Indiana | 34 | $86,276 | $14,468 | $12,814 – $18,488 |
| Iowa | 15 | $57,837 | $13,831 | $12,269 – $17,774 |
| Kansas | 21 | $58,017 | $13,938 | $11,800 – $19,571 |
| Kentucky | 14 | $94,698 | $14,059 | $12,516 – $17,410 |
| Louisiana | 10 | $95,335 | $13,104 | $11,486 – $15,680 |
| Maine | 3 | $79,913 | $18,052 | $14,614 – $19,194 |
| Maryland | 25 | $27,939 | $25,079 | $18,420 – $42,205 |
| Massachusetts | 39 | $43,430 | $17,888 | $15,138 – $29,796 |
| Michigan | 37 | $62,892 | $16,186 | $12,711 – $23,498 |
| Minnesota | 20 | $54,556 | $16,573 | $13,639 – $26,910 |
| Mississippi | 14 | $94,224 | $13,519 | $12,285 – $19,228 |
| Missouri | 32 | $64,921 | $14,460 | $11,930 – $22,454 |
| Montana | 6 | $56,937 | $14,308 | $12,855 – $15,365 |
| Nebraska | 11 | $64,039 | $14,687 | $12,521 – $18,632 |
| Nevada | 9 | $187,520 | $18,716 | $16,278 – $21,885 |
| New Hampshire | 8 | $71,785 | $16,134 | $14,046 – $22,814 |
| New Jersey | 26 | $91,075 | $17,455 | $14,815 – $23,227 |
| New Mexico | 6 | $162,040 | $18,266 | $12,131 – $22,822 |
| New York | 56 | $109,029 | $23,235 | $15,844 – $31,015 |
| North Carolina | 41 | $70,675 | $15,559 | $12,492 – $23,765 |
| North Dakota | 3 | $53,322 | $15,534 | $13,958 – $16,002 |
| Ohio | 42 | $70,129 | $14,132 | $11,654 – $21,370 |
| Oklahoma | 26 | $73,994 | $14,253 | $12,155 – $21,640 |
| Oregon | 13 | $66,864 | $18,925 | $15,543 – $24,226 |
| Pennsylvania | 64 | $76,683 | $15,447 | $12,269 – $24,620 |
| Rhode Island | 3 | $33,721 | $16,805 | $14,859 – $17,627 |
| South Carolina | 19 | $92,947 | $14,217 | $11,697 – $19,935 |
| South Dakota | 9 | $52,111 | $13,721 | $13,015 – $18,425 |
| Tennessee | 29 | $81,997 | $14,539 | $11,929 – $19,231 |
| Texas | 77 | $112,676 | $14,714 | $11,963 – $28,493 |
| Utah | 14 | $68,166 | $17,031 | $12,730 – $19,262 |
| Vermont | 3 | $47,855 | $11,943 | $6,416 – $19,422 |
| Virginia | 34 | $108,341 | $15,613 | $12,729 – $24,333 |
| Washington | 26 | $91,317 | $17,692 | $14,925 – $20,142 |
| West Virginia | 10 | $65,462 | $15,365 | $12,729 – $17,533 |
| Wisconsin | 20 | $68,802 | $14,936 | $12,446 – $25,382 |
| Wyoming | 5 | $65,123 | $22,397 | $17,489 – $25,190 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Hospital for Special SurgeryNew York, NY | 1,332 | $120,505 | $25,507 |
| NYU Hospitals CenterNew York, NY | 940 | $224,069 | $25,403 |
| New England Baptist HospitalBoston, MA | 882 | $36,463 | $16,418 |
| Saint John's Health CenterSanta Monica, CA | 505 | $77,201 | $18,077 |
| Kansas City Orthopaedic InstituteLeawood, KS | 501 | $55,861 | $12,155 |
| Scripps Green HospitalLa Jolla, CA | 475 | $125,805 | $21,624 |
| University HospitalStony Brook, NY | 452 | $68,910 | $23,872 |
| Orlando Regional HealthcareOrlando, FL | 444 | $155,265 | $17,776 |
| Black Hills Surgical Hospital LLPRapid City, SD | 420 | $43,439 | $13,127 |
| Baylor Orthopedic and Spine Hospital at ArlingtonArlington, TX | 409 | $60,892 | $14,495 |
| St Mary's Medical Center of Evansville INCEvansville, IN | 370 | $92,593 | $14,152 |
| Evanston HospitalEvanston, IL | 366 | $67,089 | $16,169 |
| Milton HospitalMilton, MA | 330 | $26,351 | $15,289 |
| St Francis Hospital, RoslynRoslyn, NY | 329 | $89,229 | $18,232 |
| Salina Surgical HospitalSalina, KS | 326 | $30,063 | $14,458 |
Questions
How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 1,212 hospitals in the U.S. was billed at $92,976 on average, while the average total payment was $17,318, of which Medicare paid $14,289. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for major hip and knee joint replacement or reattachment of lower extremity without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($25,079), New York ($23,235), Wyoming ($22,397) and lowest in Vermont ($11,943), Arkansas ($12,966), Louisiana ($13,104).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 5.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.