Revision of Hip or Knee Replacement with Major Complications — what U.S. hospitals charge
MS-DRG 466 · Inpatient stay · 67 U.S. hospitals publish a price
Cheapest quarter
under $151,449
Typical charge
$216,262
Dearest quarter
over $292,293
Actually paid
$69,937
The middle U.S. hospital bills $216,262 for Revision of Hip or Knee Replacement with Major Complications. The dearest hospitals charge about 3.3x what the cheapest do for the same coded work. Medicare actually paid about $69,937 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 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 |
|---|---|---|---|
| Massachusetts | 3 | $166,065 | $107,263 – $262,085 |
| Nebraska | 3 | $169,354 | $123,201 – $198,924 |
| Oregon | 3 | $174,141 | $148,615 – $216,262 |
| Florida | 8 | $209,928 | $130,385 – $377,309 |
| New Jersey | 3 | $254,195 | $152,060 – $315,534 |
| Pennsylvania | 4 | $265,933 | $178,963 – $296,141 |
| New York | 5 | $270,729 | $113,493 – $538,765 |
| Texas | 4 | $317,750 | $126,712 – $921,876 |
| Indiana | 3 | $339,870 | $170,660 – $3,838,130 |
| California | 4 | $456,921 | $320,893 – $788,413 |
Where Revision of Hip or Knee Replacement with 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 |
|---|---|---|
|
Spectrum Health
Grand Rapids, MI |
$86,159 | $36,417 |
|
University Of Arkansas Medical Sciences
Little Rock, AR |
$101,739 | $40,242 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$107,263 | $59,291 |
|
University Of Utah Hospital And Clinics
Salt Lake City, UT |
$108,268 | $45,673 |
|
Albany Medical Center Hospital
Albany, NY |
$113,493 | $53,333 |
|
Sibley Memorial Hospital
Washington, DC |
$121,084 | $38,924 |
|
Chi Health St. Elizabeth
Lincoln, NE |
$123,201 | $33,378 |
|
Baylor University Medical Center
Dallas, TX |
$126,712 | $48,685 |
|
Sanford Medical Center Fargo
Fargo, ND |
$129,143 | $40,101 |
|
Naples Community Hospital
Naples, FL |
$130,385 | $26,005 |
|
Mary Hitchcock Memorial Hospital
Lebanon, NH |
$131,435 | $56,293 |
|
Intermountain Health St Vincent Regional Hospital
Billings, MT |
$143,203 | $43,127 |
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 |
|---|---|---|
|
Ascension St Vincent Hospital
Indianapolis, IN |
$3,838,130 | $1,443,310 |
|
Medical City Plano
Plano, TX |
$921,876 | $51,645 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$788,413 | $89,353 |
|
John Muir Medical Center - Walnut Creek Campus
Walnut Creek, CA |
$541,748 | $64,999 |
|
Nyu Langone Hospitals
New York, NY |
$538,765 | $71,315 |
|
Sky Ridge Medical Center
Lone Tree, CO |
$527,877 | $36,653 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$480,496 | $34,868 |
|
Adventhealth Orlando
Orlando, FL |
$377,309 | $36,353 |
|
Ucsf Medical Center
San Francisco, CA |
$372,095 | $82,319 |
|
Houston Methodist Hospital
Houston, TX |
$354,721 | $50,449 |
|
Montefiore Medical Center
Bronx, NY |
$349,047 | $80,727 |
|
Indiana University Health
Indianapolis, IN |
$339,870 | $49,207 |
Questions people ask
What do U.S. hospitals charge for Revision of Hip or Knee Replacement with Major Complications?
Across 67 U.S. hospitals, the middle charge for Revision of Hip or Knee Replacement with Major Complications is $216,262. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $151,449 and the dearest quarter over $292,293.
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 Major 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. $69,937 is roughly what Medicare actually paid per case, against an average charge of $337,370. 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 466: “REVISION OF HIP OR KNEE REPLACEMENT WITH 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.