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 Michigan

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Average payment across these 37 hospitals: $16,186National $17,318 · Michigan $16,186
Median hospital: $16,099
Lowest to highest: $12,711–$23,498
Medicare stays: 1,129

37 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
McLaren Bay RegionBay City, MI · CCN 230041	27	$12,711	27% below the national average	$11,111	$66,682
McLaren Port HuronPort Huron, MI · CCN 230216	22	$12,795	26% below the national average	$11,234	$46,061
Beaumont Hospital, TroyTroy, MI · CCN 230269	52	$13,080	24% below the national average	$11,500	$66,295
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	26	$13,724	21% below the national average	$11,927	$72,759
Covenant Medical CenterSaginaw, MI · CCN 230070	22	$14,114	19% below the national average	$12,502	$54,310
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	46	$14,861	14% below the national average	$13,192	$56,342
Huron Valley-Sinai HospitalCommerce Township, MI · CCN 230277	16	$15,163	12% below the national average	$13,182	$131,871
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075	37	$15,278	12% below the national average	$12,118	$44,524
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	16	$15,283	12% below the national average	$13,427	$56,045
Mymichigan Medical Center AlmaAlma, MI · CCN 230030	16	$15,495	11% below the national average	$13,808	$26,998
McLaren Northern MichiganPetoskey, MI · CCN 230105	12	$15,586	10% below the national average	$13,954	$39,017
McLaren FlintFlint, MI · CCN 230141	15	$15,672	About average	$13,883	$74,213
ProMedica Monroe Regional HospitalMonroe, MI · CCN 230099	12	$15,712	About average	$13,789	$41,745
Henry Ford Health Warren HospitalWarren, MI · CCN 230195	14	$15,717	About average	$12,800	$61,443
Mymichigan Medical Center MidlandMidland, MI · CCN 230222	21	$15,719	About average	$14,011	$33,503
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	50	$15,824	About average	$13,969	$53,720
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	19	$15,950	About average	$14,209	$66,759
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	20	$16,077	About average	$14,200	$64,128
Spectrum HealthGrand Rapids, MI · CCN 230038	30	$16,099	About average	$14,013	$51,263
Mymichigan Medical Center AlpenaAlpena, MI · CCN 230036	31	$16,180	About average	$14,548	$37,490
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059	22	$16,218	About average	$14,096	$47,979
Munson Medical CenterTraverse City, MI · CCN 230097	26	$16,226	About average	$14,681	$40,783
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	249	$16,262	About average	$12,843	$56,681
Ascension Genesys HospitalGrand Blanc, MI · CCN 230197	22	$16,268	About average	$14,269	$60,890
Chelsea HospitalChelsea, MI · CCN 230259	18	$16,612	About average	$10,987	$61,100
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	12	$16,797	About average	$12,314	$41,095
McLaren Greater LansingLansing, MI · CCN 230167	24	$16,882	About average	$13,718	$64,564
Uphs Marquette Dlp HospitalMarquette, MI · CCN 230054	20	$16,931	About average	$14,324	$114,884
Hurley Medical CenterFlint, MI · CCN 230132	11	$16,977	About average	$14,931	$78,038
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	54	$17,185	About average	$12,210	$80,481
Garden City HospitalGarden City, MI · CCN 230244	22	$17,254	About average	$13,011	$105,160
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	57	$17,461	About average	$13,281	$72,463
Borgess Medical CenterKalamazoo, MI · CCN 230117	12	$17,508	About average	$12,441	$68,308
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	15	$18,444	About average	$13,601	$68,838
Beaumont Hospital - Farmington HillsFarmington Hills, MI · CCN 230151	12	$19,139	11% above the national average	$14,340	$89,184
Harper University HospitalDetroit, MI · CCN 230104	19	$21,882	26% above the national average	$18,781	$117,421
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	30	$23,498	36% above the national average	$16,225	$86,185

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.