Hip or knee replacement (hospital stay)

The whole hospital stay for a hip or knee joint replacement, without major complications - the most common inpatient surgery.
Code 470 · Hospital stays (inpatient) · statewide summary · negotiated in-network prices
Payers shown: Quartz
Prices shown: hospital inpatient care
Doctor’s fee or facility fee? This is the hospital's own payment for the stay (the facility fee). Surgeons, anesthesiologists and other doctors bill separately, on top of it.
Who is counted: Quartz lists clinicians individually: 94% of the 32,724 provider IDs (NPIs) it names are individual doctors, nurse practitioners and therapists; the rest are practices, clinics and hospitals. “Providers” counts those IDs.
Not on this map: Care outside Quartz's area: for some plans, Quartz rents Cigna's national PPO network. Those prices are Cigna's, and they are in this site's Cigna section, not here. Care outside Quartz's area through MultiPlan: for some plans, Quartz also rents the national MultiPlan (PHCS) network. Its prices are MultiPlan's, set nationwide, so they are not included here.
StateProvidersOrganisationsZip codes Lowest25th pctMedian75th pctHighestvs Medicare
“x Medicare” compares each price with what original Medicare actually paid hospitals in the same state for the same kind of stay in 2024, the newest year it has published: the average per stay, the patient’s share included, at hospitals with more than ten such stays. Medicare’s payment varies by hospital (wages, teaching, low-income patients), so this is a state average, not any one hospital’s rate. Insurers write their contracts as a share of Medicare, so 1.3x means the insurer pays 30% more than Medicare would; Medicare Advantage plans generally pay close to 1.0x.
This is a statewide summary. Prices vary far more between towns and between practices than these medians suggest; zip-code and provider-level detail is not published here; this specific data can be requested here.