Revision of hip or knee replacement with complications
What 561 hospitals in the U.S. charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.
Average charge
$160,618
Hospital list price billed
Average payment
$30,673
Medicare + patient + other payers
Medicare paid
$26,100
Average per stay
Volume
14,134
Medicare hospital stays
Hospitals in the U.S. billed an average of $160,618 for revision of hip or knee replacement with complications, about 5.2 times the average total payment of $30,673.
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 $30,673Billed $160,618
About 19¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 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 | $18,194 |
|---|---|
| River Oaks HospitalFlowood, MS | $19,815 |
| Saint Luke's East Lee's Summit HospitalLee's Summit, MO | $19,816 |
| Memorial Healthcare System, INCChattanooga, TN | $19,819 |
| Community HospitalOklahoma City, OK | $20,155 |
| Boone Hospital CenterColumbia, MO | $20,750 |
| Mary Washington Hospital, INCFredericksburg, VA | $20,866 |
| Sentara Leigh HospitalNorfolk, VA | $21,413 |
| Arkansas Surgical HospitalNorth Little Rock, AR | $21,705 |
| Indian River Medical CenterVero Beach, FL | $21,868 |
Highest
| UCSF Medical CenterSan Francisco, CA | $56,431 |
|---|---|
| Stanford HospitalPalo Alto, CA | $53,915 |
| Sinai Hospital of BaltimoreBaltimore, MD | $51,296 |
| University of California Davis Medical CenterSacramento, CA | $50,364 |
| Sarah Bush Lincoln Health CenterMattoon, IL | $49,010 |
| Montefiore Medical CenterBronx, NY | $48,464 |
| Medical Center of PlanoPlano, TX | $48,145 |
| University of California San Diego Medical CenterSan Diego, CA | $46,838 |
| Mount Sinai HospitalNew York, NY | $46,418 |
| Yale-New Haven HospitalNew Haven, CT | $46,077 |
Revision of hip or knee replacement with 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 | 7 | $151,965 | $26,441 | $19,842 – $32,557 |
| Alaska | 2 | $275,425 | $34,606 | $34,258 – $35,765 |
| Arizona | 17 | $164,578 | $27,975 | $23,427 – $39,163 |
| Arkansas | 4 | $80,376 | $25,535 | $21,705 – $29,379 |
| California | 39 | $249,115 | $40,553 | $28,371 – $56,431 |
| Colorado | 15 | $226,436 | $28,621 | $22,723 – $43,073 |
| Connecticut | 7 | $102,968 | $35,447 | $25,480 – $46,077 |
| Delaware | 1 | $96,950 | $30,808 | – |
| Florida | 42 | $205,519 | $26,666 | $19,567 – $42,426 |
| Georgia | 12 | $182,834 | $28,433 | $19,840 – $35,790 |
| Hawaii | 1 | $149,485 | $37,352 | – |
| Idaho | 3 | $111,374 | $27,108 | $25,671 – $28,673 |
| Illinois | 24 | $140,912 | $32,577 | $21,546 – $54,590 |
| Indiana | 15 | $134,361 | $27,176 | $21,231 – $34,883 |
| Iowa | 6 | $110,569 | $26,272 | $23,513 – $32,670 |
| Kansas | 8 | $158,327 | $26,314 | $20,921 – $28,342 |
| Kentucky | 7 | $190,107 | $28,439 | $22,758 – $36,224 |
| Louisiana | 9 | $142,201 | $27,284 | $23,040 – $35,852 |
| Maine | 1 | $136,957 | $39,464 | – |
| Maryland | 11 | $48,304 | $42,922 | $25,459 – $66,316 |
| Massachusetts | 13 | $88,827 | $33,018 | $27,338 – $44,068 |
| Michigan | 14 | $104,303 | $28,040 | $20,365 – $36,921 |
| Minnesota | 15 | $91,245 | $33,052 | $25,184 – $41,032 |
| Mississippi | 5 | $139,982 | $25,304 | $19,655 – $31,983 |
| Missouri | 12 | $116,732 | $27,136 | $19,816 – $37,213 |
| Montana | 3 | $99,100 | $26,847 | $25,560 – $27,539 |
| Nebraska | 6 | $108,878 | $25,900 | $22,505 – $31,586 |
| Nevada | 4 | $265,889 | $29,341 | $26,430 – $30,402 |
| New Hampshire | 3 | $91,411 | $34,836 | $25,344 – $38,371 |
| New Jersey | 12 | $138,412 | $30,749 | $24,887 – $36,665 |
| New Mexico | 2 | $157,433 | $25,408 | $24,486 – $26,559 |
| New York | 27 | $169,078 | $38,907 | $26,526 – $48,464 |
| North Carolina | 19 | $125,507 | $27,993 | $22,323 – $36,719 |
| North Dakota | 3 | $84,885 | $26,765 | $24,903 – $27,324 |
| Ohio | 19 | $123,965 | $27,913 | $21,112 – $33,966 |
| Oklahoma | 10 | $133,665 | $24,503 | $19,530 – $36,680 |
| Oregon | 7 | $99,526 | $34,610 | $28,750 – $40,370 |
| Pennsylvania | 26 | $150,209 | $31,010 | $23,148 – $45,016 |
| Rhode Island | 2 | $69,091 | $29,202 | $27,810 – $31,332 |
| South Carolina | 12 | $149,562 | $28,610 | $19,448 – $38,446 |
| South Dakota | 4 | $98,508 | $25,151 | $23,155 – $27,701 |
| Tennessee | 14 | $147,242 | $26,031 | $19,819 – $34,069 |
| Texas | 42 | $285,806 | $30,561 | $21,105 – $51,657 |
| Utah | 6 | $100,115 | $28,947 | $24,857 – $32,927 |
| Vermont | 1 | $107,471 | $18,194 | – |
| Virginia | 21 | $166,892 | $27,282 | $19,761 – $39,701 |
| Washington | 12 | $134,188 | $33,279 | $27,671 – $42,822 |
| West Virginia | 2 | $142,414 | $29,806 | $29,385 – $31,124 |
| Wisconsin | 11 | $104,171 | $30,043 | $23,508 – $45,832 |
| Wyoming | 1 | $83,598 | $44,689 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Hospital for Special SurgeryNew York, NY | 223 | $182,224 | $43,090 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 192 | $93,713 | $41,032 |
| New England Baptist HospitalBoston, MA | 117 | $63,651 | $28,597 |
| Orlando Regional HealthcareOrlando, FL | 109 | $258,156 | $26,815 |
| Medical Center of PlanoPlano, TX | 109 | $885,464 | $48,145 |
| Centennial Medical CenterNashville, TN | 97 | $192,597 | $25,813 |
| Thomas Jefferson University HospitalPhiladelphia, PA | 92 | $139,447 | $40,932 |
| Morristown Memorial HospitalMorristown, NJ | 89 | $147,282 | $31,692 |
| Texas Orthopedic HospitalHouston, TX | 89 | $370,048 | $28,375 |
| University of Alabama HospitalBirmingham, AL | 88 | $121,066 | $32,557 |
| Cleveland Clinic - Main CampusCleveland, OH | 88 | $120,499 | $33,966 |
| Lehigh Valley HospitalAllentown, PA | 87 | $164,891 | $31,193 |
| UCSF Medical CenterSan Francisco, CA | 86 | $242,084 | $56,431 |
| New York-Presbyterian HospitalNew York, NY | 84 | $162,255 | $42,242 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica, CA | 82 | $201,117 | $42,336 |
Questions
How much does revision of hip or knee replacement with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 561 hospitals in the U.S. was billed at $160,618 on average, while the average total payment was $30,673, of which Medicare paid $26,100. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for revision of hip or knee replacement with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($42,922), California ($40,553), New York ($38,907) and lowest in Oklahoma ($24,503), South Dakota ($25,151), Mississippi ($25,304).
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 5.2 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.