Revision of hip or knee replacement without complications
What 420 hospitals in the U.S. charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Average charge
$128,705
Hospital list price billed
Average payment
$23,925
Medicare + patient + other payers
Medicare paid
$19,722
Average per stay
Volume
9,115
Medicare hospital stays
Hospitals in the U.S. billed an average of $128,705 for revision of hip or knee replacement without complications, about 5.4 times the average total payment of $23,925.
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 $23,925Billed $128,705
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
| Specialists Hospital ShreveportShreveport, LA | $16,317 |
|---|---|
| Arkansas Surgical HospitalNorth Little Rock, AR | $16,815 |
| Kansas Surgery & Recovery CenterWichita, KS | $16,936 |
| St Joseph's Hospital - SavannahSavannah, GA | $16,987 |
| Grandview Medical CenterBirmingham, AL | $17,239 |
| McBride Clinic Orthopedic Hospital, L L COklahoma City, OK | $17,336 |
| Parkwest Medical CenterKnoxville, TN | $17,374 |
| Oklahoma Surgical Hospital, LLCTulsa, OK | $17,472 |
| Orthoindy HospitalIndianapolis, IN | $17,805 |
| River Oaks HospitalFlowood, MS | $17,967 |
Highest
| UCSF Medical CenterSan Francisco, CA | $45,229 |
|---|---|
| Long Island Jewish Medical CenterNew Hyde Park, NY | $43,603 |
| Sinai Hospital of BaltimoreBaltimore, MD | $42,401 |
| Stanford HospitalPalo Alto, CA | $40,727 |
| NYU Hospitals CenterNew York, NY | $40,468 |
| Medical Center of PlanoPlano, TX | $39,358 |
| Suburban HospitalBethesda, MD | $35,089 |
| Hartford HospitalHartford, CT | $34,593 |
| Hospital for Special SurgeryNew York, NY | $34,565 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $33,625 |
Revision of hip or knee replacement without 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 | $168,760 | $21,344 | $17,239 – $30,685 |
| Alaska | 1 | $236,189 | $23,922 | – |
| Arizona | 17 | $134,264 | $21,344 | $18,736 – $32,309 |
| Arkansas | 4 | $71,307 | $18,758 | $16,815 – $23,324 |
| California | 25 | $176,987 | $30,343 | $24,038 – $45,229 |
| Colorado | 11 | $176,726 | $24,142 | $19,546 – $44,449 |
| Connecticut | 3 | $60,503 | $30,082 | $23,232 – $34,593 |
| Delaware | 3 | $71,880 | $25,793 | $20,729 – $27,392 |
| Florida | 33 | $154,916 | $21,520 | $12,130 – $31,253 |
| Georgia | 8 | $127,860 | $21,516 | $16,987 – $26,672 |
| Idaho | 3 | $87,721 | $21,192 | $20,073 – $22,584 |
| Illinois | 14 | $113,020 | $25,331 | $20,182 – $31,445 |
| Indiana | 11 | $113,438 | $19,886 | $17,169 – $27,900 |
| Iowa | 4 | $97,942 | $19,328 | $18,425 – $24,142 |
| Kansas | 7 | $89,111 | $19,968 | $16,842 – $24,156 |
| Kentucky | 5 | $248,155 | $26,176 | $23,157 – $41,637 |
| Louisiana | 6 | $127,567 | $19,505 | $16,317 – $24,108 |
| Maine | 2 | $113,283 | $27,516 | $20,845 – $31,379 |
| Maryland | 10 | $40,242 | $35,961 | $24,839 – $43,677 |
| Massachusetts | 9 | $57,418 | $25,892 | $21,998 – $32,378 |
| Michigan | 8 | $89,975 | $25,259 | $20,791 – $27,473 |
| Minnesota | 5 | $64,015 | $26,642 | $18,612 – $33,625 |
| Mississippi | 3 | $197,455 | $18,432 | $17,472 – $20,226 |
| Missouri | 10 | $89,975 | $19,892 | $16,591 – $25,404 |
| Montana | 5 | $84,869 | $21,634 | $19,630 – $23,750 |
| Nebraska | 4 | $80,249 | $19,335 | $18,318 – $20,554 |
| Nevada | 4 | $173,589 | $23,127 | $22,130 – $25,041 |
| New Hampshire | 4 | $127,878 | $23,751 | $20,364 – $28,274 |
| New Jersey | 10 | $125,452 | $24,165 | $20,589 – $28,151 |
| New Mexico | 3 | $141,774 | $21,258 | $19,809 – $22,095 |
| New York | 16 | $128,035 | $32,920 | $22,527 – $43,603 |
| North Carolina | 18 | $112,232 | $22,279 | $18,381 – $27,445 |
| North Dakota | 1 | $62,887 | $21,047 | – |
| Ohio | 12 | $100,833 | $21,538 | $17,301 – $26,734 |
| Oklahoma | 10 | $83,579 | $18,669 | $16,742 – $21,332 |
| Oregon | 5 | $92,563 | $30,664 | $21,651 – $41,550 |
| Pennsylvania | 19 | $116,050 | $23,304 | $17,770 – $29,256 |
| Rhode Island | 2 | $55,005 | $22,769 | $21,100 – $23,961 |
| South Carolina | 14 | $129,522 | $20,665 | $16,742 – $25,823 |
| South Dakota | 3 | $77,539 | $18,783 | $18,336 – $20,103 |
| Tennessee | 12 | $115,608 | $21,213 | $16,931 – $26,264 |
| Texas | 31 | $224,440 | $24,862 | $16,536 – $60,466 |
| Utah | 6 | $109,243 | $24,065 | $20,398 – $26,109 |
| Virginia | 16 | $143,867 | $23,134 | $17,850 – $31,992 |
| Washington | 9 | $114,728 | $24,655 | $21,076 – $30,914 |
| Wisconsin | 3 | $89,842 | $21,478 | $18,829 – $26,157 |
| Wyoming | 2 | $92,342 | $32,075 | $29,041 – $34,300 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Hospital for Special SurgeryNew York, NY | 244 | $139,455 | $34,565 |
| Arkansas Surgical HospitalNorth Little Rock, AR | 104 | $78,519 | $16,815 |
| Mount Carmel New Albany Surgical HospitalNew Albany, OH | 86 | $113,127 | $20,638 |
| Centennial Medical CenterNashville, TN | 86 | $148,329 | $23,022 |
| McBride Clinic Orthopedic Hospital, L L COklahoma City, OK | 80 | $61,939 | $17,336 |
| Orlando Regional HealthcareOrlando, FL | 64 | $208,551 | $22,953 |
| Sarasota Memorial HospitalSarasota, FL | 59 | $134,325 | $20,849 |
| Medical Center of PlanoPlano, TX | 58 | $600,082 | $39,358 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | 56 | $129,455 | $24,708 |
| Christiana Care Health Services, INC.Newark, DE | 54 | $78,388 | $27,392 |
| Baptist Hospital EastLouisville, KY | 52 | $269,182 | $23,157 |
| Thomas Jefferson University HospitalPhiladelphia, PA | 52 | $103,226 | $29,256 |
| Inova Mount Vernon HospitalAlexandria, VA | 51 | $93,864 | $23,609 |
| Alaska Regional HospitalAnchorage, AK | 50 | $236,189 | $23,922 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | 49 | $140,740 | $20,714 |
Questions
How much does revision of hip or knee replacement without complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 420 hospitals in the U.S. was billed at $128,705 on average, while the average total payment was $23,925, of which Medicare paid $19,722. 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 without complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($35,961), New York ($32,920), Oregon ($30,664) and lowest in Mississippi ($18,432), Oklahoma ($18,669), Arkansas ($18,758).
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.