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 1,151–1,200. 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
Shands JacksonvilleJacksonville, FL · CCN 100001	13	$24,771	43% above the national average	$17,424	$150,336
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	104	$24,799	43% above the national average	$19,138	$165,833
New York-Presbyterian HospitalNew York, NY · CCN 330101	304	$24,852	44% above the national average	$20,753	$98,544
Garrett Regional Medical CenterOakland, MD · CCN 210017	50	$24,967	44% above the national average	$22,869	$27,996
Meritus Medical CenterHagerstown, MD · CCN 210001	12	$25,015	44% above the national average	$23,519	$27,250
HCA Florida Memorial HospitalJacksonville, FL · CCN 100179	11	$25,174	45% above the national average	$8,542	$237,217
St Johns Medical CenterJackson, WY · CCN 530015	37	$25,190	45% above the national average	$23,690	$49,171
Emory University HospitalAtlanta, GA · CCN 110010	25	$25,338	46% above the national average	$19,574	$70,957
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	20	$25,382	47% above the national average	$13,921	$136,288
Nyu Langone HospitalsNew York, NY · CCN 330214	940	$25,403	47% above the national average	$21,300	$224,069
Alta Bates Summit Medical CenterOakland, CA · CCN 050043	68	$25,441	47% above the national average	$18,825	$128,716
Regional Medical Center Of San JoseSan Jose, CA · CCN 050125	14	$25,484	47% above the national average	$20,096	$383,606
Hospital For Special SurgeryNew York, NY · CCN 330270	1,332	$25,507	47% above the national average	$17,048	$120,505
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	51	$25,567	48% above the national average	$22,153	$53,349
Jackson Health SystemMiami, FL · CCN 100022	11	$25,737	49% above the national average	$23,801	$71,818
Holy Cross HospitalSilver Spring, MD · CCN 210004	21	$26,006	50% above the national average	$21,501	$28,554
Saint Agnes HospitalBaltimore, MD · CCN 210011	31	$26,018	50% above the national average	$24,386	$29,860
Alaska Native Medical CenterAnchorage, AK · CCN 020026	105	$26,024	50% above the national average	$24,178	$63,358
Western Maryland Regional Medical CenterCumberland, MD · CCN 210027	20	$26,027	50% above the national average	$24,395	$29,368
North Shore University HospitalManhasset, NY · CCN 330106	242	$26,043	50% above the national average	$16,403	$94,640
Keck Hospital Of USCLos Angeles, CA · CCN 050696	91	$26,231	51% above the national average	$21,055	$142,037
Lenox Hill HospitalNew York, NY · CCN 330119	136	$26,238	52% above the national average	$18,363	$99,541
Herrin HospitalHerrin, IL · CCN 140011	13	$26,310	52% above the national average	$10,230	$98,721
University Of California Davis Medical CenterSacramento, CA · CCN 050599	96	$26,314	52% above the national average	$23,471	$188,254
UCSF Health St. Mary's HospitalSan Francisco, CA · CCN 050457	46	$26,469	53% above the national average	$23,828	$132,780
California Pacific Medical Center - Mission BernalSan Francisco, CA · CCN 050055	107	$26,622	54% above the national average	$20,364	$97,491
HCA Houston Healthcare NorthwestHouston, TX · CCN 450638	11	$26,865	55% above the national average	$12,900	$272,607
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	68	$26,910	55% above the national average	$18,113	$77,902
UCSF Health Saint Francis HospitalSan Francisco, CA · CCN 050152	14	$26,934	56% above the national average	$21,910	$149,640
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	52	$27,192	57% above the national average	$18,806	$106,114
Tidalhealth Peninsula Regional, IncSalisbury, MD · CCN 210019	16	$27,221	57% above the national average	$24,152	$30,131
Cambridge Health AllianceCambridge, MA · CCN 220011	21	$27,365	58% above the national average	$25,200	$20,965
Adventist Healthcare Shady Grove Medical CenterRockville, MD · CCN 210057	48	$27,562	59% above the national average	$25,442	$31,251
University Of Alabama HospitalBirmingham, AL · CCN 010033	24	$27,608	59% above the national average	$11,012	$103,696
Mount Sinai HospitalNew York, NY · CCN 330024	158	$27,622	59% above the national average	$21,819	$70,474
Brooklyn Hospital Center - Downtown CampusBrooklyn, NY · CCN 330056	12	$27,728	60% above the national average	$23,586	$102,835
MedStar Union Memorial HospitalBaltimore, MD · CCN 210024	101	$28,000	62% above the national average	$25,305	$31,513
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	52	$28,202	63% above the national average	$22,567	$122,076
Santa Clara Valley Medical CenterSan Jose, CA · CCN 050038	18	$28,442	64% above the national average	$26,300	$91,504
Dell Seton Medical Center At The University Of TxAustin, TX · CCN 450124	21	$28,493	65% above the national average	$26,605	$238,932
Southside HospitalBay Shore, NY · CCN 330043	102	$28,653	65% above the national average	$13,529	$78,826
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	23	$29,131	68% above the national average	$24,877	$164,082
Greater Baltimore Medical CenterBaltimore, MD · CCN 210044	34	$29,288	69% above the national average	$27,704	$33,160
Yale-New Haven HospitalNew Haven, CT · CCN 070022	34	$29,400	70% above the national average	$13,278	$67,280
Boston Medical CenterBoston, MA · CCN 220031	16	$29,796	72% above the national average	$24,402	$51,677
Uci Health-OrangeOrange, CA · CCN 050348	73	$29,813	72% above the national average	$24,262	$115,370
Luminis Health Doctors Community Medical Center, IncLanham, MD · CCN 210051	20	$29,890	73% above the national average	$28,421	$32,291
Sutter Solano Medical CenterVallejo, CA · CCN 050101	68	$30,014	73% above the national average	$17,842	$109,459
Stanford Health CareStanford, CA · CCN 050441	191	$30,883	78% above the national average	$24,721	$250,769
Central Peninsula General HospitalSoldotna, AK · CCN 020024	18	$31,008	79% above the national average	$25,334	$98,676

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.