How much does Hip or Knee Replacement (severe) cost?
MS-DRG 469 · Inpatient stay · 70 U.S. hospitals publish a price
Cheapest quarter
under $101,014
Typical charge
$141,053
Dearest quarter
over $216,762
Actually paid
$31,835
The middle U.S. hospital bills $141,053 for Hip or Knee Replacement (severe). The dearest hospitals charge about 4.0x what the cheapest do for the same coded work. Medicare actually paid about $31,835 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Hip or Knee Replacement (severe) cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Illinois | 6 | $102,519 | $77,969 – $128,457 |
| Massachusetts | 4 | $110,052 | $47,104 – $168,386 |
| North Carolina | 4 | $126,245 | $86,738 – $183,918 |
| Pennsylvania | 3 | $146,451 | $140,970 – $216,193 |
| New Jersey | 3 | $154,270 | $122,744 – $159,337 |
| Florida | 4 | $179,044 | $107,146 – $251,076 |
| New York | 6 | $181,478 | $100,889 – $276,697 |
| California | 9 | $187,664 | $102,782 – $444,924 |
| Texas | 5 | $244,812 | $219,181 – $496,433 |
| Colorado | 3 | $338,677 | $113,610 – $470,692 |
Where Hip or Knee Replacement (severe) is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$47,104 | $31,737 |
|
New England Baptist Hospital
Boston, MA |
$57,372 | $26,271 |
|
Centracare - St. Cloud Hospital
Saint Cloud, MN |
$65,410 | $31,712 |
|
Parkwest Medical Center
Knoxville, TN |
$74,599 | $21,293 |
|
Advocate Lutheran General Hospital
Park Ridge, IL |
$77,969 | $29,127 |
|
Trinity Health Ann Arbor Hospital
Ann Arbor, MI |
$79,525 | $32,201 |
|
Ascension Via Christi Hospitals Wichita, Inc.
Wichita, KS |
$80,928 | $28,382 |
|
Saint Francis Hospital, Inc
Tulsa, OK |
$82,136 | $22,950 |
|
Deaconess Hospital Inc
Evansville, IN |
$83,387 | $23,585 |
|
University Of Utah Hospital And Clinics
Salt Lake City, UT |
$85,249 | $32,439 |
|
Novant Health New Hanover Regional Medical Center
Wilmington, NC |
$86,738 | $27,678 |
|
Nkc Health
North Kansas City, MO |
$89,672 | $19,709 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Medical City Plano
Plano, TX |
$496,433 | $24,055 |
|
University Of Colorado Hospital Authority
Aurora, CO |
$470,692 | $87,976 |
|
Cjw Medical Center
Richmond, VA |
$456,548 | $22,094 |
|
Stanford Health Care
Stanford, CA |
$444,924 | $58,311 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$436,910 | $41,977 |
|
Texas Orthopedic Hospital
Houston, TX |
$421,999 | $21,996 |
|
Sky Ridge Medical Center
Lone Tree, CO |
$338,677 | $29,073 |
|
Wesley Medical Center
Wichita, KS |
$330,400 | $25,340 |
|
Alaska Regional Hospital
Anchorage, AK |
$304,144 | $29,087 |
|
Nyu Langone Hospitals
New York, NY |
$276,697 | $38,267 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$272,253 | $28,513 |
|
Adventhealth Orlando
Orlando, FL |
$251,076 | $38,065 |
Questions people ask
How much does Hip or Knee Replacement (severe) cost in the United States?
Across 70 U.S. hospitals, the middle charge for Hip or Knee Replacement (severe) is $141,053. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $101,014 and the dearest quarter over $216,762.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Hip or Knee Replacement (severe), the hospitals in the dearest tenth charge about 4.0x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $31,835 is roughly what Medicare actually paid per case, against an average charge of $180,053. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 469: “MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTA”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.