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
Hospitals in California
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.
- Average payment across these 119 hospitals
- $21,622
- Median hospital
- $20,302
- Lowest to highest
- $11,129–$37,686
- Medicare stays
- 6,875
119 hospitals reported at least 11 Medicare stays for this in 2024; showing 1–50. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Palomar Medical Center Poway | 16 | $11,129 | 36% below the national average | $9,701 | $104,859 |
| USC Arcadia Hospital | 81 | $15,910 | About average | $13,721 | $111,398 |
| Palomar Health Downtown Campus | 12 | $16,513 | About average | $11,987 | $108,981 |
| Docs Surgical Hospital | 40 | $17,383 | About average | $15,751 | $115,341 |
| Hoag Orthopedic Institute | 303 | $17,493 | About average | $15,662 | $85,751 |
| Fresno Surgical Hospital | 53 | $17,513 | About average | $15,558 | $51,937 |
| Casa Colina Hospital | 17 | $17,619 | About average | $16,083 | $73,137 |
| Uci Health - Los Alamitos | 13 | $17,632 | About average | $16,251 | $217,971 |
| Adventist Health Simi Valley | 37 | $17,737 | About average | $16,107 | $129,283 |
| French Hospital Medical Center | 20 | $17,925 | About average | $16,375 | $105,063 |
| Enloe Health | 25 | $18,025 | About average | $16,458 | $127,170 |
| Uci Health-Lakewood | 17 | $18,049 | About average | $16,500 | $177,514 |
| Shasta Regional Medical Center | 46 | $18,072 | About average | $16,463 | $165,738 |
| Saint John's Health Center | 505 | $18,077 | About average | $16,177 | $77,201 |
| Adventist Health Twin Cities | 13 | $18,100 | About average | $16,593 | $216,223 |
| Tri-City Medical Center | 14 | $18,145 | About average | $16,622 | $107,799 |
| San Dimas Community Hospital | 18 | $18,171 | About average | $16,539 | $125,630 |
| Chapman Global Medical Center | 25 | $18,180 | About average | $16,548 | $96,808 |
| Torrance Memorial Medical Center | 262 | $18,249 | About average | $15,978 | $123,345 |
| Providence Mission Hospital | 20 | $18,347 | About average | $16,796 | $115,641 |
| Cedar-Sinai Marina Del Rey Hospital | 15 | $18,383 | About average | $16,751 | $116,401 |
| Goleta Valley Cottage Hospital | 105 | $18,419 | About average | $16,142 | $97,559 |
| Scripps Memorial Hospital - Encinitas | 65 | $18,476 | About average | $16,505 | $162,843 |
| Clovis Community Medical Center | 24 | $18,514 | About average | $16,381 | $102,192 |
| Oroville Hospital | 79 | $18,520 | About average | $16,705 | $55,738 |
| Scripps Memorial Hospital La Jolla | 63 | $18,571 | About average | $16,258 | $160,384 |
| Foothill Regional Medical Center | 11 | $18,589 | About average | $15,813 | $132,668 |
| Redlands Community Hospital | 18 | $18,591 | About average | $17,140 | $109,642 |
| St Johns Regional Medical Center | 28 | $18,750 | About average | $17,146 | $121,434 |
| Mercy Hospital Of Folsom | 24 | $18,757 | About average | $17,193 | $163,569 |
| Desert Valley Hospital | 22 | $18,945 | About average | $17,255 | $99,740 |
| San Gabriel Valley Medical Center | 22 | $19,039 | About average | $17,328 | $111,041 |
| Providence Little Company Of Mary Medical Center Torrance | 40 | $19,096 | 10% above the national average | $16,986 | $117,575 |
| Marshall Medical Center | 23 | $19,104 | 10% above the national average | $17,472 | $190,148 |
| Providence Saint Joseph Medical Center | 42 | $19,161 | 11% above the national average | $17,433 | $102,542 |
| Victor Valley Global Medical Center | 27 | $19,274 | 11% above the national average | $16,965 | $77,678 |
| Providence Cedars Sinai Tarzana Medical Center | 45 | $19,324 | 12% above the national average | $16,699 | $120,474 |
| Palmdale Regional Medical Center | 14 | $19,391 | 12% above the national average | $17,963 | $239,759 |
| Emanuel Medical Center | 19 | $19,438 | 12% above the national average | $18,064 | $308,507 |
| Grossmont Hospital | 32 | $19,448 | 12% above the national average | $17,867 | $174,611 |
| MemorialCare Orange Coast Medical Center | 29 | $19,483 | 12% above the national average | $16,202 | $97,139 |
| Huntington Hospital | 84 | $19,490 | 13% above the national average | $17,469 | $103,587 |
| Sutter Surgical Hospital - North Valley | 25 | $19,506 | 13% above the national average | $17,874 | $96,495 |
| Uci Health - Fountain Valley | 35 | $19,593 | 13% above the national average | $17,989 | $246,397 |
| Sharp Chula Vista Medical Center | 16 | $19,626 | 13% above the national average | $17,994 | $160,231 |
| Santa Barbara Cottage Hospital | 100 | $19,672 | 14% above the national average | $17,980 | $110,477 |
| Whittier Hospital Medical Center | 12 | $19,738 | 14% above the national average | $18,143 | $100,665 |
| Providence Holy Cross Medical Center | 11 | $19,811 | 14% above the national average | $18,059 | $102,702 |
| Mercy General Hospital | 45 | $19,901 | 15% above the national average | $18,300 | $157,297 |
| San Ramon Regional Medical Center | 20 | $19,941 | 15% above the national average | $18,309 | $202,371 |
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.