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Inpatient stay · MS-DRG 468 · Surgery or procedure

Revision of hip or knee replacement without CC/MCC

In 2024, Medicare and patients paid an average of $23,925 per stay at 420 hospitals. Half of hospitals averaged between $19,852 and $25,894.

Also known as: Joint replacement revision

National figures, 2024

Average payment per case
$23,925
Typical range (middle half of hospitals)
$19,852–$25,894
Medicare’s share
$19,72282% of the payment
Average billed charge
$128,705
Hospitals reporting
4209,115 stays

Hospitals in Pennsylvania

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
Pennsylvania
Specific hospitals up to 10
Average payment across these 19 hospitals
$23,304National $23,925 · Pennsylvania $23,304
Median hospital
$22,354
Lowest to highest
$17,770–$29,256
Medicare stays
401

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

Medicare payments per case for Revision of hip or knee replacement without CC/MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Surgical Institute Of ReadingWyomissing, PA · CCN 39031616$17,77026% below the national average$16,342$68,218
Rothman Orthopaedic Specialty HospitalBensalem, PA · CCN 39032215$18,62022% below the national average$16,988$67,965
UPMC St MargaretPittsburgh, PA · CCN 39010212$19,10220% below the national average$17,383$118,179
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 39033815$19,11620% below the national average$15,796$170,994
Paoli HospitalPaoli, PA · CCN 39015320$20,02616% below the national average$16,726$69,116
Bryn Mawr HospitalBryn Mawr, PA · CCN 39013924$20,49414% below the national average$18,857$90,134
Oss Orthopaedic HospitalYork, PA · CCN 39032512$21,906About average$20,274$85,361
Lancaster General HospitalLancaster, PA · CCN 39010018$22,260About average$16,413$66,965
Magee Womens Hospital Of UPMC Health SystemPittsburgh, PA · CCN 39011440$22,266About average$19,927$101,556
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 39006736$22,354About average$20,654$68,372
Reading HospitalWest Reading, PA · CCN 39004412$22,403About average$20,879$121,925
Lehigh Valley HospitalAllentown, PA · CCN 39013338$23,197About average$20,189$146,347
Geisinger-Community Medical CenterScranton, PA · CCN 39000114$23,725About average$15,982$223,096
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 39016426$24,990About average$21,458$187,092
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 39022311$25,392About average$23,691$188,944
Milton S Hershey Medical CenterHershey, PA · CCN 39025615$25,807About average$23,926$110,616
Pennsylvania HospitalPhiladelphia, PA · CCN 39022612$27,46215% above the national average$21,023$125,148
St Lukes HospitalBethlehem, PA · CCN 39004913$28,04217% above the national average$18,985$194,155
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 39017452$29,25622% above the national average$23,979$103,226

National trend

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

  • Average payment
  • Average billed charge
2020: 9,909 stays at 437 hospitals · 2021: 3,843 stays at 185 hospitals · 2022: 9,412 stays at 428 hospitals · 2023: 9,743 stays at 439 hospitals · 2024: 9,115 stays at 420 hospitals
View data as a table
National average payment and billed charge for Revision of hip or knee replacement without CC/MCC
Year of careAverage paymentAverage billed charge
2020$22K$99K
2021$24K$108K
2022$23K$110K
2023$24K$118K
2024$24K$129K

By state, 2024

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

Show all 48 states
Average payment by state for Revision of hip or knee replacement without CC/MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Mississippi358$18,432$17,719–$19,096
Oklahoma10242$18,669$17,587–$21,136
Arkansas4176$18,758$17,600–$21,987
South Dakota392$18,783$18,345–$19,229
Iowa499$19,328$18,750–$20,250
Nebraska4107$19,335$19,034–$19,960
Louisiana6104$19,505$17,655–$22,472
Indiana11210$19,886$18,291–$20,722
Missouri10192$19,892$17,734–$21,146
Kansas7139$19,968$16,962–$21,789
South Carolina14239$20,665$18,552–$21,732
North Dakota134$21,047$21,047–$21,047
Idaho353$21,192$20,180–$21,435
Tennessee12283$21,213$18,040–$22,822
New Mexico344$21,258$20,882–$22,025
Arizona17331$21,344$19,472–$21,878
Alabama7168$21,344$18,655–$20,292
Wisconsin348$21,478$19,367–$23,031
Georgia8160$21,516$20,478–$23,332
Florida33743$21,520$19,600–$21,973
Ohio12294$21,538$19,838–$23,920
Montana5100$21,634$20,068–$20,990
North Carolina18427$22,279$19,528–$22,544
Rhode Island248$22,769$21,815–$23,246
Nevada498$23,127$22,723–$23,520
Virginia16399$23,134$19,602–$23,280
Pennsylvania19401$23,304$20,260–$25,191
New Hampshire457$23,751$21,033–$24,672
Alaska150$23,922$23,922–$23,922
Utah6138$24,065$21,349–$25,855
Colorado11194$24,142$20,325–$24,658
New Jersey10192$24,165$21,969–$25,945
Washington9164$24,655$22,187–$23,401
Texas31603$24,862$19,888–$24,431
Michigan8144$25,259$24,184–$26,744
Illinois14270$25,331$21,662–$29,274
District of Columbia276$25,767$23,889–$29,380
Delaware386$25,793$23,884–$27,215
Massachusetts9171$25,892$22,668–$27,528
Kentucky5140$26,176$24,168–$25,438
Minnesota5103$26,642$19,826–$26,717
Maine230$27,516$23,478–$28,745
Connecticut343$30,082$26,037–$31,717
California25520$30,343$26,679–$31,786
Oregon573$30,664$27,983–$37,167
Wyoming226$32,075$30,356–$32,986
New York16529$32,920$24,367–$33,584
Maryland10217$35,961$31,824–$42,281

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.