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Inpatient stay · MS-DRG 462 · Surgery or procedure

Bilateral or multiple major joint procedures of lower extremity without MCC

In 2024, Medicare and patients paid an average of $29,055 per stay at 25 hospitals. Half of hospitals averaged between $21,799 and $31,711.

National figures, 2024

Average payment per case
$29,055
Typical range (middle half of hospitals)
$21,799–$31,711
Medicare’s share
$22,96879% of the payment
Average billed charge
$123,097
Hospitals reporting
25590 stays

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Specific hospitals up to 10

25 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Bilateral or multiple major joint procedures of lower extremity without MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Texas Health Harris Methodist Hospital SouthlakeSouthlake, TX · CCN 45088830$18,94935% below the national average$17,372$103,672
Physicians Care Surgical HospitalRoyersford, PA · CCN 39032412$19,66632% below the national average$18,170$100,003
Rothman Orthopaedic Specialty HospitalBensalem, PA · CCN 39032211$19,88632% below the national average$18,254$104,634
Ascension Saint Thomas HospitalNashville, TN · CCN 44008226$21,02628% below the national average$18,937$122,360
North Central Surgical Center LLPDallas, TX · CCN 67004915$21,27727% below the national average$15,946$63,472
The East Alabama Healthcare AuthorityOpelika, AL · CCN 01002912$21,51226% below the national average$17,198$43,360
Naples Community HospitalNaples, FL · CCN 10001821$21,79925% below the national average$18,089$120,908
Sanford Medical Center FargoFargo, ND · CCN 35001112$23,62619% below the national average$19,035$64,039
Erlanger Medical CenterChattanooga, TN · CCN 44010418$23,65719% below the national average$20,316$59,311
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 38010216$23,82318% below the national average$22,184$97,652
Jefferson Health- NortheastPhiladelphia, PA · CCN 39011562$24,74615% below the national average$19,793$65,635
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 34000215$24,81815% below the national average$19,240$147,033
Surgical Institute Of ReadingWyomissing, PA · CCN 39031615$25,26313% below the national average$16,246$108,617
Henry County Memorial HospitalNew Castle, IN · CCN 15003033$25,89311% below the national average$24,261$99,271
Hoag Orthopedic InstituteIrvine, CA · CCN 05076914$27,756About average$19,414$126,507
Pratt Regional Medical CenterPratt, KS · CCN 17002719$29,671About average$26,091$55,805
Glendale Adventist Medical CenterGlendale, CA · CCN 05023935$30,873About average$29,253$192,523
Peconic Bay Medical CenterRiverhead, NY · CCN 33010711$31,226About average$19,851$111,184
Morristown Medical CenterMorristown, NJ · CCN 31001520$31,711About average$22,873$110,339
Scripps Green HospitalLa Jolla, CA · CCN 05042471$32,33811% above the national average$29,662$191,396
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 33018217$32,65012% above the national average$20,002$122,310
Straub Clinic And HospitalHonolulu, HI · CCN 12002217$35,64423% above the national average$21,394$90,083
Montefiore New Rochelle HospitalNew Rochelle, NY · CCN 33018431$39,18035% above the national average$25,286$130,787
Hospital For Special SurgeryNew York, NY · CCN 33027046$45,77358% above the national average$27,061$189,583
UCSF Medical CenterSan Francisco, CA · CCN 05045411$47,19862% above the national average$43,517$220,039

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 1,762 stays at 83 hospitals · 2021: 1,143 stays at 57 hospitals · 2022: 930 stays at 44 hospitals · 2023: 689 stays at 33 hospitals · 2024: 590 stays at 25 hospitals
View data as a table
National average payment and billed charge for Bilateral or multiple major joint procedures of lower extremity without MCC
Year of careAverage paymentAverage billed charge
2020$26K$102K
2021$27K$102K
2022$27K$106K
2023$27K$117K
2024$29K$123K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 14 states
Average payment by state for Bilateral or multiple major joint procedures of lower extremity without MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Texas245$19,725$19,531–$20,695
Alabama112$21,512$21,512–$21,512
Florida121$21,799$21,799–$21,799
Tennessee244$22,103$21,684–$22,999
North Dakota112$23,626$23,626–$23,626
Pennsylvania4100$23,679$19,831–$24,875
Oregon116$23,823$23,823–$23,823
North Carolina115$24,818$24,818–$24,818
Indiana133$25,893$25,893–$25,893
Kansas119$29,671$29,671–$29,671
New Jersey120$31,711$31,711–$31,711
California4131$32,705$30,094–$36,053
Hawaii117$35,644$35,644–$35,644
New York4105$40,178$32,294–$40,828

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.