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Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without with major complications
Medicare DRG 470. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$94,712
Avg total payment
$16,725
Avg Medicare pays
$13,946
Hospitals reporting
1,206
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 | 9 | $183,947 | $14,181 |
| Florida | 88 | $144,964 | $12,545 |
| Colorado | 17 | $139,790 | $13,316 |
| California | 118 | $137,275 | $18,481 |
| Texas | 77 | $129,396 | $12,282 |
| Arizona | 28 | $122,635 | $13,842 |
| New Mexico | 6 | $118,833 | $12,673 |
| Alaska | 3 | $116,818 | $21,446 |
| District of Columbia | 4 | $108,380 | $16,981 |
| Alabama | 24 | $103,944 | $10,417 |
| Georgia | 27 | $100,701 | $13,499 |
| New Jersey | 26 | $100,447 | $15,077 |
| South Carolina | 19 | $97,289 | $11,989 |
| Indiana | 34 | $95,042 | $12,774 |
| Virginia | 34 | $92,847 | $12,243 |
| Washington | 26 | $92,757 | $14,272 |
| Oklahoma | 26 | $87,171 | $12,098 |
| Tennessee | 29 | $86,726 | $11,893 |
| Kentucky | 14 | $86,410 | $12,211 |
| Louisiana | 10 | $86,384 | $11,149 |
| Idaho | 7 | $85,377 | $13,196 |
| Pennsylvania | 64 | $84,737 | $12,691 |
| New York | 56 | $82,696 | $16,826 |
| Illinois | 45 | $82,091 | $13,405 |
| New Hampshire | 8 | $81,946 | $13,626 |
| Utah | 14 | $77,867 | $12,882 |
| North Carolina | 40 | $76,641 | $12,715 |
| Kansas | 21 | $74,154 | $11,914 |
| Mississippi | 14 | $73,992 | $11,601 |
| Maine | 3 | $73,051 | $15,114 |
| Ohio | 42 | $72,511 | $12,464 |
| Missouri | 31 | $72,350 | $12,586 |
| Wisconsin | 20 | $71,524 | $12,257 |
| Arkansas | 9 | $70,926 | $11,473 |
| Oregon | 13 | $66,049 | $15,937 |
| Nebraska | 11 | $65,880 | $12,043 |
| Wyoming | 5 | $65,278 | $20,500 |
| South Dakota | 9 | $64,855 | $13,236 |
| Michigan | 37 | $64,844 | $13,498 |
| Connecticut | 12 | $64,380 | $16,071 |
| Hawaii | 2 | $64,284 | $14,659 |
| West Virginia | 10 | $63,931 | $10,930 |
| Delaware | 1 | $58,521 | $14,754 |
| Iowa | 15 | $57,800 | $11,848 |
| Montana | 6 | $57,234 | $12,291 |
| Minnesota | 19 | $55,239 | $13,576 |
| North Dakota | 3 | $51,553 | $11,975 |
| Vermont | 3 | $45,609 | $8,486 |
| Massachusetts | 39 | $45,399 | $15,822 |
| Rhode Island | 3 | $34,968 | $13,915 |
| Maryland | 25 | $30,685 | $25,432 |
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.