How much does Hip or Knee Replacement (without major complications) cost?
MS-DRG 470 · Inpatient stay · 1,212 U.S. hospitals publish a price
Cheapest quarter
under $56,071
Typical charge
$79,947
Dearest quarter
over $116,046
Actually paid
$16,724
The middle U.S. hospital bills $79,947 for Hip or Knee Replacement (without major complications). The dearest hospitals charge about 3.9x what the cheapest do for the same coded work. Medicare actually paid about $16,724 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 (without major complications) cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Maryland | 25 | $29,860 | $20,699 – $47,819 |
| Rhode Island | 3 | $32,210 | $31,533 – $41,161 |
| Massachusetts | 39 | $40,803 | $20,965 – $124,798 |
| Vermont | 3 | $43,983 | $34,509 – $58,334 |
| North Dakota | 3 | $50,996 | $47,462 – $56,201 |
| Wyoming | 5 | $51,257 | $49,171 – $90,226 |
| Iowa | 15 | $51,961 | $41,934 – $85,996 |
| Minnesota | 20 | $51,961 | $42,687 – $85,521 |
| Arkansas | 10 | $53,482 | $31,855 – $123,984 |
| Montana | 6 | $56,447 | $39,674 – $81,696 |
| Mississippi | 14 | $56,462 | $28,237 – $246,386 |
| Missouri | 32 | $60,018 | $36,756 – $141,973 |
| South Dakota | 9 | $60,904 | $43,439 – $90,376 |
| Ohio | 42 | $61,270 | $35,380 – $122,871 |
| Michigan | 37 | $61,443 | $26,998 – $131,871 |
| Oregon | 13 | $62,545 | $48,502 – $104,677 |
| West Virginia | 10 | $62,937 | $45,836 – $82,751 |
| Kansas | 21 | $63,017 | $30,063 – $214,912 |
| Connecticut | 12 | $65,021 | $40,623 – $90,717 |
| Nebraska | 11 | $66,353 | $40,200 – $86,129 |
| Virginia | 34 | $67,783 | $38,889 – $312,023 |
| Utah | 14 | $68,024 | $42,423 – $134,100 |
| Wisconsin | 20 | $69,370 | $39,396 – $136,288 |
| New Hampshire | 8 | $69,613 | $53,095 – $175,574 |
| Maine | 3 | $72,166 | $59,999 – $86,988 |
| Idaho | 7 | $72,763 | $42,919 – $148,842 |
| Oklahoma | 26 | $73,277 | $32,243 – $225,759 |
| Pennsylvania | 64 | $73,572 | $33,140 – $204,904 |
| New York | 56 | $74,152 | $33,727 – $243,304 |
| Kentucky | 14 | $74,651 | $45,922 – $193,767 |
| North Carolina | 41 | $75,233 | $35,193 – $134,693 |
| Tennessee | 29 | $78,656 | $36,075 – $215,831 |
| Illinois | 45 | $79,268 | $38,357 – $147,152 |
| Louisiana | 10 | $79,954 | $19,194 – $157,981 |
| New Jersey | 26 | $82,167 | $54,973 – $240,863 |
| Indiana | 34 | $83,131 | $41,844 – $169,489 |
| Washington | 26 | $88,598 | $45,379 – $135,809 |
| Texas | 77 | $88,649 | $36,775 – $344,847 |
| South Carolina | 19 | $91,630 | $59,478 – $200,140 |
| Alaska | 3 | $98,676 | $63,358 – $188,420 |
| Alabama | 24 | $98,837 | $27,519 – $225,952 |
| New Mexico | 6 | $100,342 | $56,574 – $251,234 |
| District of Columbia | 4 | $103,535 | $66,616 – $159,832 |
| Georgia | 27 | $108,139 | $44,410 – $155,923 |
| Colorado | 17 | $109,790 | $49,930 – $273,060 |
| Arizona | 29 | $117,497 | $44,196 – $308,825 |
| California | 119 | $121,434 | $51,937 – $383,606 |
| Florida | 88 | $140,470 | $55,938 – $254,499 |
| Nevada | 9 | $185,562 | $68,782 – $240,018 |
Where Hip or Knee Replacement (without major complications) is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
West Calcasieu Cameron Hospital
Sulphur, LA |
$19,194 | $13,415 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$20,699 | $18,420 |
|
Cambridge Health Alliance
Cambridge, MA |
$20,965 | $27,365 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$21,430 | $19,777 |
|
Northeast Hospital Corporation
Beverly, MA |
$22,194 | $16,152 |
|
Suburban Hospital
Bethesda, MD |
$22,938 | $20,521 |
|
Medstar Montgomery Medical Center
Olney, MD |
$23,239 | $20,602 |
|
Anna Jaques Hospital
Newburyport, MA |
$24,248 | $15,691 |
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$24,688 | $22,544 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$25,515 | $23,353 |
|
Beth Israel Deaconess Hospital - Milton
Milton, MA |
$26,351 | $15,289 |
|
Mount Auburn Hospital
Cambridge, MA |
$26,689 | $19,315 |
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 |
|---|---|---|
|
Regional Medical Center Of San Jose
San Jose, CA |
$383,606 | $25,484 |
|
Round Rock Medical Center
Round Rock, TX |
$344,847 | $14,416 |
|
Medical City Plano
Plano, TX |
$341,612 | $16,916 |
|
Good Samaritan Hospital
San Jose, CA |
$327,882 | $20,833 |
|
Medical Center Of Mckinney
Mckinney, TX |
$314,538 | $16,842 |
|
Cjw Medical Center
Richmond, VA |
$312,023 | $13,531 |
|
St Joseph's Hospital
Tucson, AZ |
$308,825 | $14,912 |
|
Emanuel Medical Center
Turlock, CA |
$308,507 | $19,438 |
|
Henrico Doctors' Hospital
Richmond, VA |
$308,171 | $13,850 |
|
Medical City Fort Worth
Fort Worth, TX |
$297,192 | $18,832 |
|
Ucla West Valley Medical Center
West Hills, CA |
$292,338 | $20,759 |
|
Medical City Dallas Hospital
Dallas, TX |
$291,873 | $17,107 |
Questions people ask
How much does Hip or Knee Replacement (without major complications) cost in the United States?
Across 1,212 U.S. hospitals, the middle charge for Hip or Knee Replacement (without major complications) is $79,947. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $56,071 and the dearest quarter over $116,046.
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 (without major complications), the hospitals in the dearest tenth charge about 3.9x 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. $16,724 is roughly what Medicare actually paid per case, against an average charge of $92,976. 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 470: “MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC”. 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.