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Revision of Hip or Knee Replacement without with Complications/with major complications
Medicare DRG 468. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$128,480
Avg total payment
$23,668
Avg Medicare pays
$19,729
Hospitals reporting
417
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 |
|---|---|---|---|
| Kentucky | 5 | $258,962 | $24,521 |
| Alaska | 1 | $236,189 | $21,291 |
| Texas | 30 | $204,937 | $19,313 |
| Nevada | 4 | $196,160 | $20,370 |
| Colorado | 11 | $180,705 | $20,966 |
| Alabama | 7 | $178,813 | $15,656 |
| California | 25 | $175,647 | $27,075 |
| Florida | 33 | $159,206 | $17,397 |
| New Mexico | 3 | $157,447 | $17,147 |
| Mississippi | 3 | $155,523 | $15,425 |
| Virginia | 16 | $151,879 | $17,785 |
| Louisiana | 6 | $139,225 | $16,443 |
| New Hampshire | 4 | $135,426 | $21,782 |
| Arizona | 16 | $133,019 | $18,340 |
| New Jersey | 10 | $130,080 | $21,974 |
| Georgia | 8 | $127,697 | $18,875 |
| South Carolina | 14 | $124,797 | $17,285 |
| Indiana | 11 | $123,014 | $17,999 |
| Pennsylvania | 19 | $121,443 | $19,446 |
| Utah | 6 | $116,796 | $18,553 |
| Illinois | 14 | $114,679 | $19,875 |
| North Carolina | 18 | $113,577 | $18,378 |
| Tennessee | 12 | $109,819 | $17,043 |
| Washington | 9 | $109,638 | $20,778 |
| Maine | 2 | $106,529 | $22,705 |
| New York | 16 | $106,507 | $23,857 |
| Iowa | 4 | $98,354 | $17,550 |
| Ohio | 12 | $96,590 | $16,871 |
| Wyoming | 2 | $96,442 | $30,303 |
| Oklahoma | 10 | $94,423 | $16,222 |
| Oregon | 5 | $94,063 | $19,257 |
| Michigan | 8 | $90,717 | $17,538 |
| Wisconsin | 3 | $89,962 | $19,140 |
| District of Columbia | 2 | $89,119 | $21,312 |
| Missouri | 9 | $88,456 | $17,439 |
| Kansas | 7 | $87,605 | $15,992 |
| Idaho | 3 | $87,040 | $17,706 |
| Montana | 5 | $81,655 | $18,437 |
| Nebraska | 4 | $81,272 | $16,984 |
| South Dakota | 3 | $81,082 | $17,348 |
| Arkansas | 4 | $70,755 | $18,094 |
| Delaware | 3 | $66,077 | $20,650 |
| North Dakota | 1 | $62,887 | $19,408 |
| Minnesota | 5 | $62,563 | $18,545 |
| Connecticut | 3 | $60,431 | $22,279 |
| Massachusetts | 9 | $56,907 | $22,628 |
| Rhode Island | 2 | $56,574 | $19,142 |
| Maryland | 10 | $40,681 | $32,882 |
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.