Revision of Hip or Knee Replacement with Complications — what U.S. hospitals charge
MS-DRG 467 · Inpatient stay · 561 U.S. hospitals publish a price
Cheapest quarter
under $94,988
Typical charge
$129,978
Dearest quarter
over $181,279
Actually paid
$29,591
The middle U.S. hospital bills $129,978 for Revision of Hip or Knee Replacement with Complications. The dearest hospitals charge about 3.3x what the cheapest do for the same coded work. Medicare actually paid about $29,591 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.
Revision of Hip or Knee Replacement with 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 | 11 | $43,548 | $29,446 – $71,836 |
| Arkansas | 4 | $73,462 | $51,173 – $101,906 |
| Massachusetts | 13 | $80,270 | $44,267 – $173,629 |
| North Dakota | 3 | $84,936 | $79,995 – $89,286 |
| Mississippi | 5 | $90,706 | $73,123 – $359,219 |
| South Dakota | 4 | $90,980 | $65,696 – $118,118 |
| Montana | 3 | $91,288 | $79,785 – $125,334 |
| New Hampshire | 3 | $91,483 | $87,671 – $109,015 |
| Wisconsin | 11 | $92,249 | $75,705 – $144,179 |
| Minnesota | 15 | $93,713 | $60,696 – $120,547 |
| Idaho | 3 | $99,484 | $97,573 – $140,664 |
| Michigan | 14 | $99,640 | $71,600 – $183,786 |
| Iowa | 6 | $100,601 | $62,527 – $147,888 |
| Utah | 6 | $102,448 | $67,507 – $150,560 |
| Oregon | 7 | $102,595 | $53,728 – $121,912 |
| Nebraska | 6 | $103,275 | $79,289 – $137,066 |
| Connecticut | 7 | $105,700 | $69,141 – $148,121 |
| Missouri | 12 | $109,047 | $67,310 – $201,451 |
| Indiana | 15 | $112,211 | $69,981 – $225,580 |
| North Carolina | 19 | $120,363 | $78,687 – $184,780 |
| Alabama | 7 | $121,066 | $76,216 – $322,475 |
| Ohio | 19 | $121,296 | $59,715 – $237,672 |
| New Jersey | 12 | $123,034 | $109,316 – $268,179 |
| Oklahoma | 10 | $123,098 | $63,149 – $364,272 |
| Virginia | 21 | $124,482 | $72,875 – $551,414 |
| Tennessee | 14 | $125,387 | $78,257 – $215,186 |
| Washington | 12 | $131,820 | $110,144 – $163,146 |
| Pennsylvania | 26 | $134,537 | $76,291 – $335,352 |
| Illinois | 24 | $134,958 | $63,806 – $262,225 |
| Kansas | 8 | $136,101 | $46,401 – $295,761 |
| New York | 27 | $137,203 | $69,158 – $333,501 |
| Louisiana | 9 | $140,539 | $84,984 – $222,788 |
| South Carolina | 12 | $146,818 | $89,222 – $206,850 |
| Arizona | 17 | $156,354 | $81,283 – $255,329 |
| Kentucky | 7 | $177,290 | $88,272 – $296,004 |
| Colorado | 15 | $184,536 | $122,560 – $462,372 |
| Florida | 42 | $185,825 | $95,038 – $417,797 |
| Georgia | 12 | $190,777 | $77,760 – $284,909 |
| Texas | 42 | $191,343 | $80,417 – $885,464 |
| California | 39 | $202,388 | $81,776 – $451,884 |
| Nevada | 4 | $310,439 | $98,395 – $460,884 |
Where Revision of Hip or Knee Replacement with Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Saint Agnes Hospital
Baltimore, MD |
$29,446 | $25,459 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$37,198 | $33,257 |
|
Mercy Medical Center Inc
Baltimore, MD |
$37,692 | $32,974 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$39,261 | $35,810 |
|
Suburban Hospital
Bethesda, MD |
$42,060 | $37,872 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$43,548 | $38,529 |
|
Northeast Hospital Corporation
Beverly, MA |
$44,267 | $27,338 |
|
Kansas Surgery & Recovery Center
Wichita, KS |
$46,401 | $20,921 |
|
Medstar Union Memorial Hospital
Baltimore, MD |
$48,157 | $42,631 |
|
Mercy Hospital Fort Smith
Fort Smith, AR |
$51,173 | $23,270 |
|
Legacy Good Samaritan Medical Center
Portland, OR |
$53,728 | $32,938 |
|
Baystate Medical Center
Springfield, MA |
$54,076 | $34,413 |
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 |
$885,464 | $48,145 |
|
Cjw Medical Center
Richmond, VA |
$551,414 | $23,524 |
|
Henrico Doctors' Hospital
Richmond, VA |
$490,623 | $25,341 |
|
Medical City Dallas Hospital
Dallas, TX |
$471,443 | $32,010 |
|
Hca Healthone Presbyterian St. Lukes
Denver, CO |
$462,372 | $30,280 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$460,884 | $30,402 |
|
Doctors Medical Center
Modesto, CA |
$451,884 | $42,481 |
|
Las Palmas Medical Center A Campus Of Lpds Healthc
El Paso, TX |
$448,925 | $28,601 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$444,126 | $41,016 |
|
Round Rock Medical Center
Round Rock, TX |
$434,865 | $24,865 |
|
The Medical Center Of Aurora & South Hospital
Aurora, CO |
$428,650 | $26,791 |
|
Good Samaritan Medical Center
West Palm Beach, FL |
$417,797 | $23,571 |
Questions people ask
What do U.S. hospitals charge for Revision of Hip or Knee Replacement with Complications?
Across 561 U.S. hospitals, the middle charge for Revision of Hip or Knee Replacement with Complications is $129,978. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $94,988 and the dearest quarter over $181,279.
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 Revision of Hip or Knee Replacement with Complications, the hospitals in the dearest tenth charge about 3.3x 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. $29,591 is roughly what Medicare actually paid per case, against an average charge of $160,618. 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 467: “REVISION OF HIP OR KNEE REPLACEMENT WITH CC”. 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.