The same joint replacement costs Medicare a different amount at a surgery center, a hospital outpatient department, and an inpatient bed. Look up any hospital or surgery center and see how it stacks up.
American health care pays very different amounts for the same operation, depending on the building it happens in. Most of that is invisible to the people who choose where to have surgery.
This atlas puts the public record in one place: what Medicare pays every hospital and surgery center, what hospitals list, how they perform, and who is nearby. It is free, and every number traces to a federal file.
Nationally in 2024, Medicare's surgery-center rate for a total knee (CPT 27447) was $9,048 before local wage adjustment; the hospital outpatient rate was $11,940; and hospitals were paid a median $15,666 per inpatient stay (MS-DRG 470).
CMS counts 47% of the outpatient knee payment, 50% of the hip and 61% of the shoulder as the implant (device offset).
Medicare pays each setting under a different fee schedule. Inpatient payments bundle the overnight stay and are adjusted for teaching, safety-net and wage costs; surgery-center rates are lower by design. The implant is priced the same.
Search any hospital, surgery center, city or ZIP in the atlas, or browse by state below. Every facility has a page with its Medicare prices, list price, quality and nearby alternatives.
Yes. Every number comes from public federal files (CMS, Census, Care Compare) and is free to use with citation: Techy Surgeon Price Atlas (2026).
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Scroll or pinch to zoom, drag to pan. Click a state to fly in and see its counties, hospitals, and surgery centers. Click any dot for its price tag.
Line up to four hospitals or surgery centers. Add them from any price tag, the map, or the Find table.
Every hospital with a Medicare joint-replacement record and every certified surgery center. Sort any column; click a row for its price tag.
Every hospital is a row. Pick a question or build your own: any two measures, grouped any way, with the statistics computed live.
Ask in plain English. Claude writes one read-only query against the atlas, your browser runs it, and you see the answer with the query and its assumptions. Public questions join the wall.
Turn any hospital, market or state into a living price story. Pick a story, point it at a place, and watch it draw. Every number comes straight from the atlas.
Every number traces to a public file. Here is where each comes from and what it can't tell you.