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

Hospitals in Maryland

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.

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Year of care

Average payment across these 25 hospitals: $25,079National $17,318 · Maryland $25,079
Median hospital: $26,027
Lowest to highest: $18,420–$42,205
Medicare stays: 911

25 hospitals reported at least 11 Medicare stays for this in 2024. 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
University Of Maryland St Joseph Medical CenterTowson, MD · CCN 210063	113	$18,420	About average	$16,588	$20,699
Luminis Health Anne Arundel Medical Center, IncAnnapolis, MD · CCN 210023	140	$19,777	14% above the national average	$18,094	$21,430
Suburban HospitalBethesda, MD · CCN 210022	65	$20,521	18% above the national average	$18,562	$22,938
MedStar Montgomery Medical CenterOlney, MD · CCN 210018	17	$20,602	19% above the national average	$18,970	$23,239
MedStar Franklin Square Medical CenterRosedale, MD · CCN 210015	17	$22,544	30% above the national average	$17,883	$24,688
Johns Hopkins Howard County Medical CenterColumbia, MD · CCN 210048	32	$23,353	35% above the national average	$21,341	$25,515
Mercy Medical Center IncBaltimore, MD · CCN 210008	29	$24,194	40% above the national average	$22,032	$27,821
Holy Cross Germantown HospitalGermantown, MD · CCN 210065	17	$24,258	40% above the national average	$22,626	$27,367
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
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
Western Maryland Regional Medical CenterCumberland, MD · CCN 210027	20	$26,027	50% above the national average	$24,395	$29,368
Tidalhealth Peninsula Regional, IncSalisbury, MD · CCN 210019	16	$27,221	57% above the national average	$24,152	$30,131
Adventist Healthcare Shady Grove Medical CenterRockville, MD · CCN 210057	48	$27,562	59% above the national average	$25,442	$31,251
MedStar Union Memorial HospitalBaltimore, MD · CCN 210024	101	$28,000	62% above the national average	$25,305	$31,513
Greater Baltimore Medical CenterBaltimore, MD · CCN 210044	34	$29,288	69% above the national average	$27,704	$33,160
Luminis Health Doctors Community Medical Center, IncLanham, MD · CCN 210051	20	$29,890	73% above the national average	$28,421	$32,291
Johns Hopkins Bayview Medical CenterBaltimore, MD · CCN 210029	23	$31,274	81% above the national average	$30,068	$36,015
UMD Upper Chesapeake Medical CenterBel Air, MD · CCN 210049	17	$31,995	85% above the national average	$30,555	$35,355
Adventist Healthcare White Oak Medical CenterSilver Spring, MD · CCN 210016	12	$32,240	86% above the national average	$30,608	$36,059
University Of Maryland Charles Regional Medical CenterLa Plata, MD · CCN 210035	15	$34,608	100% above the national average	$33,085	$32,499
Sinai Hospital Of BaltimoreBaltimore, MD · CCN 210012	35	$35,542	105% above the national average	$29,089	$39,907
The Johns Hopkins HospitalBaltimore, MD · CCN 210009	14	$39,013	125% above the national average	$37,497	$44,401
Union Hospital Of Cecil CountyElkton, MD · CCN 210032	12	$42,205	144% above the national average	$41,117	$47,819

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.