Revision of Hip or Knee Replacement without Complications/mcc — what U.S. hospitals charge
MS-DRG 468 · Inpatient stay · 420 U.S. hospitals publish a price
Cheapest quarter
under $79,079
Typical charge
$108,446
Dearest quarter
over $149,370
Actually paid
$23,626
The middle U.S. hospital bills $108,446 for Revision of Hip or Knee Replacement without Complications/mcc. The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $23,626 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 without Complications/mcc 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 | 10 | $42,655 | $28,589 – $49,072 |
| Massachusetts | 9 | $52,252 | $27,769 – $92,539 |
| Connecticut | 3 | $59,952 | $53,479 – $67,861 |
| Minnesota | 5 | $63,739 | $53,621 – $73,018 |
| Delaware | 3 | $63,828 | $56,013 – $78,388 |
| South Dakota | 3 | $69,210 | $58,622 – $115,415 |
| Arkansas | 4 | $75,871 | $40,060 – $91,215 |
| Wisconsin | 3 | $78,369 | $72,639 – $118,877 |
| Montana | 5 | $79,159 | $56,284 – $119,544 |
| Oklahoma | 10 | $80,881 | $47,257 – $162,505 |
| Idaho | 3 | $81,409 | $79,473 – $100,238 |
| Nebraska | 4 | $82,606 | $52,644 – $107,232 |
| Missouri | 10 | $84,515 | $59,913 – $121,030 |
| Mississippi | 3 | $85,329 | $57,008 – $324,231 |
| Kansas | 7 | $85,414 | $44,198 – $139,575 |
| Oregon | 5 | $88,550 | $71,190 – $118,600 |
| Michigan | 8 | $88,852 | $53,485 – $140,486 |
| New York | 16 | $93,242 | $43,453 – $272,944 |
| Ohio | 12 | $97,752 | $48,794 – $125,451 |
| Iowa | 4 | $99,284 | $93,339 – $101,512 |
| Tennessee | 12 | $99,685 | $67,872 – $218,124 |
| New Hampshire | 4 | $99,884 | $86,250 – $255,687 |
| Washington | 9 | $103,751 | $71,059 – $154,834 |
| Indiana | 11 | $104,440 | $62,036 – $238,455 |
| New Jersey | 10 | $108,885 | $79,223 – $254,209 |
| Pennsylvania | 19 | $110,616 | $66,965 – $223,096 |
| North Carolina | 18 | $112,247 | $66,600 – $183,115 |
| Utah | 6 | $114,368 | $54,954 – $189,276 |
| Illinois | 14 | $116,154 | $78,838 – $181,710 |
| South Carolina | 14 | $116,976 | $65,616 – $223,063 |
| Louisiana | 6 | $117,042 | $68,624 – $293,603 |
| Virginia | 16 | $117,297 | $53,116 – $413,501 |
| Georgia | 8 | $123,722 | $66,408 – $185,104 |
| Arizona | 17 | $125,022 | $65,539 – $210,646 |
| Colorado | 11 | $132,237 | $72,634 – $418,511 |
| New Mexico | 3 | $143,023 | $67,169 – $262,151 |
| Alabama | 7 | $144,072 | $77,704 – $314,505 |
| Florida | 33 | $151,530 | $73,010 – $286,761 |
| California | 25 | $153,552 | $78,821 – $367,084 |
| Texas | 31 | $169,177 | $31,722 – $600,082 |
| Nevada | 4 | $201,104 | $81,401 – $301,030 |
| Kentucky | 5 | $269,182 | $180,144 – $333,978 |
Where Revision of Hip or Knee Replacement without Complications/mcc is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Northeast Hospital Corporation
Beverly, MA |
$27,769 | $21,998 |
|
Saint Agnes Hospital
Baltimore, MD |
$28,589 | $24,839 |
|
Baystate Medical Center
Springfield, MA |
$29,471 | $27,528 |
|
Kell West Regional Hospital
Wichita Falls, TX |
$31,722 | $16,927 |
|
Mercy Medical Center Inc
Baltimore, MD |
$33,253 | $29,150 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$34,299 | $31,710 |
|
Medstar Union Memorial Hospital
Baltimore, MD |
$35,940 | $32,168 |
|
Suburban Hospital
Bethesda, MD |
$39,369 | $35,089 |
|
University Of Arkansas Medical Sciences
Little Rock, AR |
$40,060 | $23,324 |
|
Crouse Hospital
Syracuse, NY |
$43,453 | $24,374 |
|
Kansas Surgery & Recovery Center
Wichita, KS |
$44,198 | $16,936 |
|
North Central Surgical Center Llp
Dallas, TX |
$44,866 | $22,179 |
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 |
$600,082 | $39,358 |
|
Hca Healthone Presbyterian St. Lukes
Denver, CO |
$418,511 | $22,520 |
|
Texas Orthopedic Hospital
Houston, TX |
$414,509 | $20,583 |
|
Henrico Doctors' Hospital
Richmond, VA |
$413,501 | $19,642 |
|
University Medical Center
Lubbock, TX |
$412,980 | $60,466 |
|
Medical Center Of Mckinney
Mckinney, TX |
$407,055 | $20,595 |
|
Ucla West Valley Medical Center
West Hills, CA |
$367,084 | $25,890 |
|
Medical City Dallas Hospital
Dallas, TX |
$365,522 | $20,454 |
|
Baptist Health Lagrange
La Grange, KY |
$333,978 | $41,637 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$325,340 | $31,786 |
|
Merit Health River Oaks
Flowood, MS |
$324,231 | $17,967 |
|
Baptist Health Lexington
Lexington, KY |
$320,914 | $25,438 |
Questions people ask
What do U.S. hospitals charge for Revision of Hip or Knee Replacement without Complications/mcc?
Across 420 U.S. hospitals, the middle charge for Revision of Hip or Knee Replacement without Complications/mcc is $108,446. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $79,079 and the dearest quarter over $149,370.
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 without Complications/mcc, the hospitals in the dearest tenth charge about 3.8x 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. $23,626 is roughly what Medicare actually paid per case, against an average charge of $128,705. 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 468: “REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/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.