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: Security Health Plan
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: Security Health Plan lists clinicians individually: 96% of the 42,805 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 Security Health Plan's own network: for some plans it rents other networks (Aetna and First Health outside Wisconsin; The Alliance and Northwood). Those prices are set by those networks, 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.