Inpatient stay · MS-DRG 470 · Surgery or procedure
Major hip and knee joint replacement or reattachment of lower extremity without MCC
In 2024, Medicare and patients paid an average of $17,318 per stay at 1,212 hospitals. Half of hospitals averaged between $13,991 and $18,392.
Also known as: Hip replacement, knee replacement, joint replacement, arthroplasty
National figures, 2024
- Average payment per case
- $17,318
- Typical range (middle half of hospitals)
- $13,991–$18,392
- Medicare’s share
- $14,289
- Average billed charge
- $92,976
- Hospitals reporting
- 1,212
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.
1,212 hospitals reported at least 11 Medicare stays for this in 2024; showing 701–750. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Providence Regional Medical Center Everett | 51 | $16,235 | About average | $13,455 | $82,167 |
| Avera Sacred Heart Hospital | 20 | $16,236 | About average | $14,576 | $60,904 |
| HCA Florida Blake Hospital | 62 | $16,238 | About average | $13,734 | $142,314 |
| Trinity Health Ann Arbor Hospital | 249 | $16,262 | About average | $12,843 | $56,681 |
| Ascension Genesys Hospital | 22 | $16,268 | About average | $14,269 | $60,890 |
| Great Plains Health | 25 | $16,275 | About average | $12,240 | $86,129 |
| Saint Rose Dominican Hospitals - Siena Campus | 58 | $16,278 | About average | $13,764 | $144,222 |
| Ascension Providence | 20 | $16,282 | About average | $12,209 | $88,649 |
| Hendrick Medical Center | 105 | $16,290 | About average | $12,331 | $188,167 |
| LDS Hospital | 34 | $16,322 | About average | $14,731 | $53,595 |
| Holy Family Hospital | 14 | $16,324 | About average | $15,013 | $35,690 |
| Advocate Trinity Hospital | 11 | $16,333 | About average | $11,824 | $91,814 |
| HCA Florida Citrus Hospital | 27 | $16,335 | About average | $12,803 | $196,550 |
| Aurora St Lukes Medical Center | 42 | $16,346 | About average | $12,973 | $93,710 |
| Duke Regional Hospital | 37 | $16,364 | About average | $13,073 | $59,046 |
| Summa Health System | 18 | $16,365 | About average | $14,623 | $118,089 |
| Milford Regional Medical Center | 23 | $16,386 | About average | $14,766 | $28,685 |
| New England Baptist Hospital | 882 | $16,418 | About average | $14,141 | $36,463 |
| Owatonna Hospital | 16 | $16,420 | About average | $14,788 | $50,494 |
| PeaceHealth St John Medical Center | 16 | $16,430 | About average | $14,798 | $113,439 |
| Dublin Methodist Hospital | 16 | $16,430 | About average | $12,749 | $112,833 |
| San Luis Valley Regional Medical Center | 25 | $16,442 | About average | $14,875 | $49,930 |
| Saint Vincent Hospital | 30 | $16,444 | About average | $14,495 | $116,805 |
| HCA Florida Lawnwood Hospital | 12 | $16,456 | About average | $10,878 | $192,560 |
| University Hospital And Medical Center | 16 | $16,466 | About average | $12,448 | $157,917 |
| Grays Harbor Community Hospital | 37 | $16,471 | About average | $14,883 | $135,809 |
| Piedmont Newnan Hospital, Inc | 17 | $16,471 | About average | $12,208 | $123,139 |
| Lehigh Valley Hospital | 186 | $16,472 | About average | $13,979 | $107,791 |
| North Texas Medical Center | 13 | $16,472 | About average | $13,949 | $67,293 |
| Reading Hospital | 123 | $16,477 | About average | $14,109 | $70,643 |
| Ascension All Saints Hospital | 17 | $16,496 | About average | $13,339 | $69,132 |
| Palomar Health Downtown Campus | 12 | $16,513 | About average | $11,987 | $108,981 |
| White Plains Hospital Center | 71 | $16,514 | About average | $15,020 | $98,654 |
| MidState Medical Center | 66 | $16,516 | About average | $14,884 | $40,623 |
| Hackensack Meridian Health Pascack Valley Medical | 17 | $16,528 | About average | $14,896 | $80,884 |
| Island Hospital | 12 | $16,549 | About average | $15,053 | $56,080 |
| Nashoba Valley Medical Center | 15 | $16,553 | About average | $12,340 | $48,551 |
| Cambridge Medical Center | 14 | $16,557 | About average | $14,925 | $53,429 |
| Knapp Medical Center | 14 | $16,568 | About average | $14,821 | $143,494 |
| Sentara Williamsburg Regional Medical Center | 18 | $16,577 | About average | $9,497 | $52,734 |
| Hudson Regional Hospital | 38 | $16,578 | About average | $14,854 | $116,174 |
| Marshfield Medical Center | 28 | $16,579 | About average | $14,722 | $61,255 |
| Ecu Health North Hospital | 12 | $16,591 | About average | $8,053 | $35,193 |
| Mercy St Vincent Medical Center | 22 | $16,596 | About average | $13,500 | $122,871 |
| Northwestern Medicine MCHenry | 36 | $16,596 | About average | $12,642 | $88,270 |
| HCA Florida Bayonet Point Hospital | 23 | $16,609 | About average | $14,635 | $191,732 |
| Chelsea Hospital | 18 | $16,612 | About average | $10,987 | $61,100 |
| Ecu Health Medical Center | 61 | $16,618 | About average | $13,228 | $56,177 |
| Lewisgale Medical Center | 33 | $16,652 | About average | $12,747 | $196,582 |
| Avera St Mary's Hospital | 18 | $16,664 | About average | $13,578 | $56,684 |
National trend
Average payment and billed charge per stay, and how many Medicare stays were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $16K | $70K |
| 2021 | $16K | $74K |
| 2022 | $16K | $80K |
| 2023 | $17K | $86K |
| 2024 | $17K | $93K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 51 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Vermont | 3 | 61 | $11,943 | $7,968–$14,471 |
| Arkansas | 10 | 294 | $12,966 | $12,954–$14,313 |
| Louisiana | 10 | 312 | $13,104 | $12,374–$14,606 |
| Mississippi | 14 | 609 | $13,519 | $12,760–$14,145 |
| South Dakota | 9 | 678 | $13,721 | $13,146–$16,236 |
| Iowa | 15 | 601 | $13,831 | $12,942–$13,900 |
| Kansas | 21 | 1,857 | $13,938 | $13,440–$15,106 |
| Kentucky | 14 | 448 | $14,059 | $13,325–$14,999 |
| Ohio | 42 | 1,724 | $14,132 | $12,682–$16,083 |
| South Carolina | 19 | 559 | $14,217 | $13,147–$15,593 |
| Oklahoma | 26 | 987 | $14,253 | $13,006–$14,911 |
| Montana | 6 | 221 | $14,308 | $13,450–$14,347 |
| Missouri | 32 | 1,013 | $14,460 | $13,415–$16,112 |
| Indiana | 34 | 1,382 | $14,468 | $14,000–$15,548 |
| Tennessee | 29 | 1,269 | $14,539 | $13,051–$14,839 |
| Alabama | 24 | 1,069 | $14,555 | $13,099–$14,915 |
| Nebraska | 11 | 311 | $14,687 | $13,061–$15,452 |
| Texas | 77 | 3,658 | $14,714 | $13,671–$16,472 |
| Wisconsin | 20 | 790 | $14,936 | $13,150–$16,031 |
| Idaho | 7 | 158 | $15,223 | $14,656–$15,780 |
| West Virginia | 10 | 391 | $15,365 | $13,520–$14,636 |
| Arizona | 29 | 1,348 | $15,381 | $13,993–$16,068 |
| Pennsylvania | 64 | 3,540 | $15,447 | $13,455–$16,451 |
| Florida | 88 | 3,655 | $15,466 | $13,758–$16,947 |
| North Dakota | 3 | 66 | $15,534 | $14,826–$15,848 |
| North Carolina | 41 | 2,173 | $15,559 | $13,556–$16,364 |
| Virginia | 34 | 1,195 | $15,613 | $13,882–$15,834 |
| Colorado | 17 | 525 | $15,835 | $14,730–$18,641 |
| New Hampshire | 8 | 279 | $16,134 | $14,902–$18,577 |
| Michigan | 37 | 1,129 | $16,186 | $15,495–$16,931 |
| Illinois | 45 | 2,287 | $16,408 | $14,382–$17,105 |
| Georgia | 27 | 596 | $16,511 | $14,885–$17,557 |
| Minnesota | 20 | 875 | $16,573 | $14,734–$16,840 |
| Rhode Island | 3 | 230 | $16,805 | $14,916–$16,300 |
| Delaware | 1 | 77 | $16,994 | $16,994–$16,994 |
| Utah | 14 | 490 | $17,031 | $14,140–$16,633 |
| New Jersey | 26 | 1,178 | $17,455 | $15,951–$18,339 |
| Washington | 26 | 847 | $17,692 | $16,007–$18,066 |
| Massachusetts | 39 | 3,696 | $17,888 | $15,963–$20,454 |
| Maine | 3 | 65 | $18,052 | $16,627–$18,917 |
| New Mexico | 6 | 220 | $18,266 | $13,293–$16,866 |
| Nevada | 9 | 301 | $18,716 | $17,683–$19,302 |
| Oregon | 13 | 389 | $18,925 | $17,407–$20,120 |
| Connecticut | 12 | 655 | $19,326 | $17,542–$19,617 |
| District of Columbia | 4 | 132 | $19,492 | $19,677–$22,676 |
| Hawaii | 2 | 114 | $20,777 | $20,229–$21,135 |
| California | 119 | 6,875 | $21,622 | $18,851–$21,981 |
| Alaska | 3 | 245 | $22,368 | $21,985–$28,516 |
| Wyoming | 5 | 119 | $22,397 | $20,799–$24,183 |
| New York | 56 | 6,517 | $23,235 | $17,402–$23,354 |
| Maryland | 25 | 911 | $25,079 | $24,194–$31,274 |
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.