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Revision of Hip or Knee Replacement with complications
Medicare DRG 467. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$152,713
Avg total payment
$29,600
Avg Medicare pays
$25,331
Hospitals reporting
560
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| Nevada | 4 | $295,039 | $24,496 |
| Alaska | 2 | $254,180 | $29,658 |
| California | 39 | $228,543 | $33,965 |
| Texas | 42 | $225,797 | $23,639 |
| Colorado | 15 | $218,193 | $23,997 |
| Florida | 42 | $208,104 | $22,160 |
| Georgia | 12 | $177,964 | $23,939 |
| Arizona | 16 | $165,674 | $23,936 |
| Virginia | 21 | $161,254 | $22,629 |
| Kentucky | 7 | $161,159 | $22,944 |
| Kansas | 8 | $153,993 | $22,213 |
| Alabama | 7 | $150,882 | $20,189 |
| New Mexico | 2 | $150,802 | $24,126 |
| Hawaii | 1 | $149,485 | $34,730 |
| Pennsylvania | 26 | $149,345 | $24,099 |
| South Carolina | 12 | $147,830 | $22,405 |
| Oklahoma | 10 | $146,626 | $22,380 |
| Louisiana | 9 | $144,908 | $23,918 |
| New York | 27 | $143,597 | $31,177 |
| Mississippi | 5 | $142,636 | $20,626 |
| New Jersey | 12 | $142,073 | $28,091 |
| Illinois | 24 | $138,737 | $24,542 |
| West Virginia | 2 | $138,578 | $22,295 |
| Tennessee | 14 | $137,157 | $22,117 |
| Maine | 1 | $136,957 | $24,815 |
| Washington | 12 | $133,810 | $26,103 |
| Indiana | 15 | $126,942 | $23,579 |
| Ohio | 19 | $123,950 | $22,205 |
| North Carolina | 19 | $122,948 | $24,017 |
| Missouri | 12 | $116,072 | $23,352 |
| Idaho | 3 | $112,573 | $24,582 |
| District of Columbia | 2 | $111,439 | $28,218 |
| Utah | 6 | $108,298 | $23,610 |
| Nebraska | 6 | $107,512 | $21,745 |
| Vermont | 1 | $107,471 | $15,767 |
| Connecticut | 7 | $104,905 | $29,236 |
| Michigan | 14 | $103,394 | $23,433 |
| Iowa | 6 | $102,612 | $21,960 |
| Wisconsin | 11 | $101,126 | $23,092 |
| Montana | 3 | $98,802 | $25,206 |
| Oregon | 7 | $97,212 | $31,268 |
| Delaware | 1 | $96,950 | $25,240 |
| New Hampshire | 3 | $96,056 | $26,958 |
| South Dakota | 4 | $91,444 | $23,288 |
| Minnesota | 15 | $90,698 | $25,147 |
| Massachusetts | 13 | $87,411 | $30,427 |
| North Dakota | 3 | $84,739 | $23,936 |
| Wyoming | 1 | $83,598 | $43,363 |
| Arkansas | 4 | $75,001 | $22,402 |
| Rhode Island | 2 | $69,456 | $23,426 |
| Maryland | 11 | $47,836 | $40,670 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.