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: $14,28983% of the payment
Average billed charge: $92,976
Hospitals reporting: 1,21259,121 stays

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1,212 hospitals reported at least 11 Medicare stays for this in 2024; showing 1,051–1,100. Download as CSV

Medicare payments per case for Major hip and knee joint replacement or reattachment of lower extremity without MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Mission Community HospitalPanorama City, CA · CCN 050704	17	$20,571	19% above the national average	$18,850	$159,827
Emanate Health Inter-Community HospitalCovina, CA · CCN 050382	52	$20,576	19% above the national average	$17,333	$66,300
Glendale Adventist Medical CenterGlendale, CA · CCN 050239	44	$20,587	19% above the national average	$18,874	$154,342
Sequoia HospitalRedwood City, CA · CCN 050197	153	$20,602	19% above the national average	$18,947	$166,386
MedStar Montgomery Medical CenterOlney, MD · CCN 210018	17	$20,602	19% above the national average	$18,970	$23,239
Southwest Healthcare Rancho Springs HospitalMurrieta, CA · CCN 050701	11	$20,641	19% above the national average	$18,972	$111,685
Mercy Medical Center ReddingRedding, CA · CCN 050280	36	$20,687	19% above the national average	$17,120	$96,300
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	235	$20,711	20% above the national average	$16,181	$104,800
UCLA West Valley Medical CenterWest Hills, CA · CCN 050481	55	$20,759	20% above the national average	$15,516	$292,338
Cheyenne Regional Medical CenterCheyenne, WY · CCN 530014	29	$20,799	20% above the national average	$19,214	$90,226
Valley Presbyterian HospitalVan Nuys, CA · CCN 050126	21	$20,822	20% above the national average	$19,190	$71,157
St Vincent HospitalWorcester, MA · CCN 220176	50	$20,826	20% above the national average	$17,881	$124,798
Good Samaritan HospitalSan Jose, CA · CCN 050380	52	$20,833	20% above the national average	$19,327	$327,882
Saint Agnes Medical CenterFresno, CA · CCN 050093	27	$20,853	20% above the national average	$19,044	$89,111
Adventist Health White MemorialLos Angeles, CA · CCN 050103	17	$20,884	21% above the national average	$19,079	$144,156
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	146	$20,904	21% above the national average	$18,552	$87,547
Duke University HospitalDurham, NC · CCN 340030	128	$20,913	21% above the national average	$16,181	$55,756
Memorial Hermann Memorial City HospitalHouston, TX · CCN 450610	12	$20,932	21% above the national average	$9,697	$75,559
Bay Area HospitalCoos Bay, OR · CCN 380090	44	$20,959	21% above the national average	$18,564	$51,020
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 240080	26	$20,983	21% above the national average	$15,243	$85,521
Medical City WeatherfordWeatherford, TX · CCN 450203	16	$21,069	22% above the national average	$12,455	$234,282
Sutter Maternity & Surgery Center Of Santa CruzSanta Cruz, CA · CCN 050714	13	$21,089	22% above the national average	$19,582	$101,369
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 050283	24	$21,114	22% above the national average	$19,482	$143,012
PIH Health Good Samaritan HospitalLos Angeles, CA · CCN 050471	26	$21,180	22% above the national average	$17,167	$133,895
MedStar Washington Hospital CenterWashington, DC · CCN 090011	25	$21,259	23% above the national average	$17,534	$116,619
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	44	$21,264	23% above the national average	$13,432	$115,832
El Camino HealthMountain View, CA · CCN 050308	49	$21,274	23% above the national average	$19,159	$210,855
Washington HospitalFremont, CA · CCN 050195	60	$21,283	23% above the national average	$19,682	$171,834
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	63	$21,283	23% above the national average	$19,157	$90,741
Montefiore New Rochelle HospitalNew Rochelle, NY · CCN 330184	101	$21,283	23% above the national average	$17,659	$62,907
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	79	$21,308	23% above the national average	$15,733	$32,856
Sky Lakes Medical CenterKlamath Falls, OR · CCN 380050	19	$21,325	23% above the national average	$19,081	$71,871
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	39	$21,353	23% above the national average	$19,931	$218,901
UH St John Medical CenterWestlake, OH · CCN 360123	13	$21,370	23% above the national average	$18,075	$70,039
Sharp Memorial HospitalSan Diego, CA · CCN 050100	20	$21,420	24% above the national average	$16,906	$161,376
Eden Medical CenterCastro Valley, CA · CCN 050488	16	$21,435	24% above the national average	$19,797	$112,224
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	107	$21,437	24% above the national average	$17,053	$81,971
Memorial Medical CenterModesto, CA · CCN 050557	73	$21,468	24% above the national average	$15,919	$107,187
St Joseph's Medical CenterYonkers, NY · CCN 330006	11	$21,526	24% above the national average	$19,764	$63,505
Portsmouth Regional HospitalPortsmouth, NH · CCN 300029	12	$21,539	24% above the national average	$13,606	$175,574
The Queens Medical CenterHonolulu, HI · CCN 120001	63	$21,588	25% above the national average	$14,556	$92,920
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	244	$21,619	25% above the national average	$18,677	$200,134
Scripps Green HospitalLa Jolla, CA · CCN 050424	475	$21,624	25% above the national average	$19,129	$125,805
O U Medical CenterOklahoma City, OK · CCN 370093	32	$21,640	25% above the national average	$17,946	$208,739
Arnot Ogden Medical CenterElmira, NY · CCN 330090	29	$21,641	25% above the national average	$19,000	$42,612
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 050174	39	$21,710	25% above the national average	$20,096	$209,684
Boston Medical Center-BrightonBrighton, MA · CCN 220036	27	$21,739	26% above the national average	$17,894	$47,804
Westchester Medical CenterValhalla, NY · CCN 330234	52	$21,877	26% above the national average	$19,833	$168,503
Harper University HospitalDetroit, MI · CCN 230104	19	$21,882	26% above the national average	$18,781	$117,421
Mountainview HospitalLas Vegas, NV · CCN 290039	50	$21,885	26% above the national average	$13,029	$184,305

National trend

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

Average payment
Average billed charge

2020: 203,480 stays at 2,306 hospitals · 2021: 110,827 stays at 1,533 hospitals · 2022: 84,253 stays at 1,371 hospitals · 2023: 71,939 stays at 1,311 hospitals · 2024: 59,121 stays at 1,212 hospitals

View data as a table

National average payment and billed charge for Major hip and knee joint replacement or reattachment of lower extremity without MCC
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

Average payment by state for Major hip and knee joint replacement or reattachment of lower extremity without MCC, 2024
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.