Price AtlasInteractive atlas · All states · techysurgeon.comKnee replacement revision: what insurers pay
Redo surgery on a knee replacement: both parts (27487) or one part (27486) are replaced. Stays group to revision DRGs 466-468 (FY2026); FY2027 merges them into DRG 449. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 27487: Knee Replacement Revision
815 hospitals in 73 markets. National Medicare rate $17,914, surgery center $13,964.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 11 | $15,862 | $16,763 | $18,215 | $8,378–$27,238 |
| Alaska (statewide) | 4 | — | — | — | $11,994–$44,462 |
| Arizona (statewide) | 6 | $15,239 | $15,656 | $16,123 | $11,713–$23,388 |
| Arkansas (statewide) | 4 | — | — | — | $8,505–$22,063 |
| Atlanta GA | 6 | $9,378 | $9,378 | $28,400 | $9,378–$35,140 |
| Austin TX | 12 | $12,500 | $16,935 | $21,898 | $12,500–$25,716 |
| Boston MA | 10 | $20,596 | $20,684 | $25,085 | $19,147–$26,298 |
| California (statewide) | 19 | $19,299 | $26,173 | $32,880 | $13,271–$40,332 |
| Chicago IL | 7 | $22,288 | $27,813 | $29,642 | $10,285–$30,270 |
| Cleveland OH | 11 | $17,832 | $18,247 | $26,792 | $12,191–$35,556 |
| Colorado (statewide) | 13 | $13,580 | $17,885 | $20,307 | $11,636–$44,393 |
| Columbus OH | 1 | — | — | — | $29,586–$29,586 |
| Connecticut (statewide) | 1 | — | — | — | $35,734–$35,734 |
| Dallas-Fort Worth TX | 12 | $24,821 | $24,960 | $25,110 | $19,497–$51,070 |
| Denver CO | 15 | $18,590 | $20,844 | $21,238 | $12,858–$22,606 |
| Detroit MI | 6 | $12,050 | $15,506 | $19,916 | $11,318–$20,965 |
| Florida (statewide) | 51 | $28,150 | $29,978 | $31,626 | $9,602–$40,029 |
| Georgia (statewide) | 21 | $16,710 | $27,250 | $34,740 | $9,378–$41,826 |
| Hawaii (statewide) | 3 | — | — | — | $11,429–$20,992 |
| Houston TX | 18 | $16,442 | $24,561 | $24,561 | $9,158–$33,466 |
| Idaho (statewide) | 11 | $17,856 | $21,551 | $22,250 | $10,930–$43,306 |
| Illinois (statewide) | 19 | $15,055 | $17,114 | $23,280 | $11,495–$27,813 |
| Indiana (statewide) | 18 | $21,530 | $29,346 | $33,282 | $10,136–$38,188 |
| Indianapolis IN | 1 | — | — | — | $27,238–$27,238 |
| Iowa (statewide) | 12 | $13,564 | $14,049 | $18,174 | $8,716–$22,761 |
| Kansas (statewide) | 9 | $17,483 | $26,870 | $33,326 | $14,000–$48,140 |
| Kentucky (statewide) | 6 | $15,046 | $17,823 | $28,176 | $9,842–$35,189 |
| Los Angeles CA | 15 | $18,762 | $20,717 | $27,908 | $14,805–$46,112 |
| Louisiana (statewide) | 21 | $10,381 | $11,495 | $14,263 | $9,038–$21,323 |
| Maine (statewide) | 8 | $54,683 | $55,369 | $55,369 | $53,318–$62,212 |
| Massachusetts (statewide) | 3 | — | — | — | $22,722–$24,362 |
| Michigan (statewide) | 15 | $17,471 | $18,508 | $20,108 | $15,881–$21,062 |
| Minneapolis-St. Paul MN | 7 | $10,942 | $10,942 | $11,218 | $10,500–$18,858 |
| Minnesota (statewide) | 12 | $23,460 | $38,142 | $45,084 | $10,942–$58,164 |
| Mississippi (statewide) | 13 | $10,189 | $10,189 | $19,464 | $8,052–$39,472 |
| Missouri (statewide) | 12 | $22,508 | $26,263 | $27,554 | $14,049–$38,731 |
| Montana (statewide) | 3 | — | — | — | $27,026–$32,477 |
| Nashville TN | 6 | $22,619 | $25,688 | $25,808 | $21,294–$25,808 |
| Nebraska (statewide) | 10 | $12,110 | $12,110 | $14,033 | $9,129–$25,244 |
| New Hampshire (statewide) | 5 | $30,943 | $31,650 | $32,799 | $30,414–$78,517 |
| New Jersey (statewide) | 19 | $18,000 | $18,452 | $19,802 | $13,385–$25,440 |
| New Mexico (statewide) | 3 | — | — | — | $42,855–$66,130 |
| New York (statewide) | 19 | $32,831 | $33,611 | $38,115 | $17,022–$51,409 |
| New York City | 7 | $32,831 | $32,831 | $35,564 | $25,154–$38,928 |
| North Carolina (statewide) | 6 | $14,000 | $14,000 | $14,000 | $11,832–$38,066 |
| North Dakota (statewide) | 4 | — | — | — | $17,860–$30,070 |
| Ohio (statewide) | 33 | $27,966 | $33,816 | $40,980 | $13,056–$67,394 |
| Oklahoma (statewide) | 5 | $15,450 | $19,421 | $24,065 | $12,824–$31,426 |
| Oregon (statewide) | 5 | $13,546 | $27,097 | $67,394 | $13,546–$73,592 |
| Pennsylvania (statewide) | 15 | $9,539 | $20,249 | $48,404 | $9,340–$77,539 |
| Philadelphia PA | 9 | $13,385 | $16,603 | $16,698 | $10,734–$21,748 |
| Phoenix AZ | 8 | $13,807 | $15,169 | $15,169 | $9,721–$15,169 |
| Pittsburgh PA | 1 | — | — | — | $10,564–$10,564 |
| Portland OR | 9 | $24,978 | $24,978 | $49,619 | $23,856–$49,619 |
| Rhode Island (statewide) | 4 | — | — | — | $15,150–$28,107 |
| Richmond VA | 3 | — | — | — | $25,280–$28,422 |
| Rio Grande Valley TX | 3 | — | — | — | $8,958–$19,589 |
| Salt Lake City UT | 9 | $24,272 | $24,272 | $24,272 | $23,472–$25,073 |
| San Antonio TX | 2 | — | — | — | $25,239–$25,239 |
| San Diego CA | 2 | — | — | — | $38,834–$41,585 |
| San Francisco Bay Area CA | 4 | — | — | — | $13,547–$44,972 |
| Seattle-Tacoma WA | 16 | $34,286 | $36,263 | $43,040 | $27,004–$61,683 |
| South Carolina (statewide) | 17 | $20,654 | $22,211 | $27,358 | $13,546–$30,328 |
| South Dakota (statewide) | 2 | — | — | — | $20,401–$23,319 |
| Tampa FL | 6 | $17,068 | $17,068 | $18,056 | $17,068–$24,884 |
| Tennessee (statewide) | 21 | $16,703 | $17,889 | $21,442 | $14,160–$26,046 |
| Texas (statewide) | 66 | $17,756 | $21,436 | $25,100 | $9,158–$68,341 |
| Utah (statewide) | 4 | — | — | — | $18,929–$24,272 |
| Virginia (statewide) | 17 | $31,406 | $43,946 | $46,138 | $12,301–$59,423 |
| Washington (statewide) | 12 | $33,258 | $41,646 | $49,684 | $13,441–$72,900 |
| Washington DC | 8 | $19,566 | $19,566 | $28,948 | $11,403–$30,472 |
| West Virginia (statewide) | 3 | — | — | — | $14,999–$56,997 |
| Wisconsin (statewide) | 36 | $16,825 | $20,120 | $26,405 | $8,650–$45,638 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Jefferson County Hospital | Mississippi (statewide) | $8,052 | 0.5× | 5 | 2026-09-15 |
| Floyd Cherokee Medical Center | Alabama (statewide) | $8,378 | 0.6× | 1 | 2025-11-19 |
| Chi St Vincent Hospital Hot Springs | Arkansas (statewide) | $8,505 | 0.5× | 1 | 2026-02-28 |
| Unitypoint Health - Meriter | Wisconsin (statewide) | $8,650 | 0.5× | 1 | 2026-01-28 |
| Trinity Muscatine | Iowa (statewide) | $8,716 | 0.5× | 3 | 2026-01-28 |
| Finley Hospital | Iowa (statewide) | $8,716 | 0.5× | 3 | 2026-01-28 |
| Ochsner Medical Center-Hancock | Mississippi (statewide) | $8,766 | 0.6× | 1 | 2026-04-01 |
| Doctors Hospital at Renaissance | Rio Grande Valley TX | $8,958 | 0.5× | 1 | 2026-04-01 |
| Watertown Regional Medical Center | Wisconsin (statewide) | $9,004 | 0.5× | 1 | 2026-04-01 |
| St James Parish Hospital | Louisiana (statewide) | $9,038 | 0.6× | 1 | 2026-04-01 |
| Henderson Community Hospital | Nebraska (statewide) | $9,129 | 0.5× | 1 | 2026-09-01 |
| Baylor St. Luke's Medical Center | Houston TX | $9,158 | 0.5× | 1 | 2026-02-28 |
| Penn State Health Lancaster Medical Center | Pennsylvania (statewide) | $60,155 | 3.5× | 1 | 2026-03-27 |
| Swedish Medical Center | Seattle-Tacoma WA | $61,683 | 3.0× | 5 | 2026-04-01 |
| Northern Light Mayo Hospital | Maine (statewide) | $62,212 | 3.6× | 1 | 2026-03-30 |
| Presbyterian Santa Fe Medical Center | New Mexico (statewide) | $66,130 | 3.6× | 1 | 2026-04-01 |
| Salem Regional Medical Center | Ohio (statewide) | $67,394 | 4.1× | 2 | 2026-04-01 |
| Salem Hospital | Oregon (statewide) | $67,394 | 3.4× | 2 | 2026-04-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $67,542 | 3.3× | 3 | 2026-08-27 |
| Palestine Regional Medical Center | Texas (statewide) | $68,341 | 3.9× | 1 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $72,900 | 3.7× | 2 | 2026-04-01 |
| Providence Medford Medical Center | Oregon (statewide) | $73,592 | 3.6× | 2 | 2026-04-01 |
| Penn State Health St. Joseph | Pennsylvania (statewide) | $77,539 | 4.3× | 1 | 2026-03-27 |
| Elliot Hospital | New Hampshire (statewide) | $78,517 | 4.2× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 27486: Knee Replacement Revision
861 hospitals in 75 markets. National Medicare rate $13,117, surgery center $6,804.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 11 | $12,874 | $14,131 | $18,386 | $8,378–$29,754 |
| Alaska (statewide) | 4 | — | — | — | $9,590–$27,127 |
| Arizona (statewide) | 8 | $11,499 | $13,858 | $15,950 | $9,174–$17,125 |
| Arkansas (statewide) | 5 | $9,928 | $11,900 | $12,065 | $7,730–$16,155 |
| Atlanta GA | 6 | $8,502 | $8,502 | $14,658 | $8,502–$16,710 |
| Austin TX | 13 | $12,500 | $17,641 | $21,898 | $12,500–$21,898 |
| Boston MA | 10 | $20,596 | $20,684 | $21,872 | $17,048–$22,713 |
| California (statewide) | 23 | $15,009 | $21,888 | $32,401 | $9,909–$50,643 |
| Chicago IL | 7 | $14,524 | $22,164 | $26,966 | $10,156–$27,813 |
| Cleveland OH | 11 | $13,361 | $17,327 | $21,570 | $11,426–$35,556 |
| Colorado (statewide) | 12 | $13,454 | $16,272 | $18,058 | $11,053–$22,534 |
| Columbus OH | 1 | — | — | — | $21,045–$21,045 |
| Connecticut (statewide) | 1 | — | — | — | $26,166–$26,166 |
| Dallas-Fort Worth TX | 12 | $17,232 | $22,159 | $24,821 | $17,220–$44,366 |
| Denver CO | 15 | $13,458 | $20,490 | $21,238 | $12,858–$22,606 |
| Detroit MI | 6 | $9,673 | $11,318 | $12,424 | $7,751–$15,000 |
| Florida (statewide) | 58 | $20,249 | $28,500 | $30,670 | $6,961–$40,029 |
| Georgia (statewide) | 22 | $12,156 | $16,710 | $27,250 | $6,029–$37,095 |
| Hawaii (statewide) | 1 | — | — | — | $14,600–$14,600 |
| Houston TX | 19 | $9,799 | $24,505 | $24,561 | $6,958–$24,561 |
| Idaho (statewide) | 11 | $16,940 | $21,551 | $24,975 | $10,975–$34,044 |
| Illinois (statewide) | 19 | $12,009 | $13,788 | $19,108 | $6,977–$27,813 |
| Indiana (statewide) | 22 | $20,098 | $26,103 | $32,790 | $10,136–$45,773 |
| Indianapolis IN | 1 | — | — | — | $27,238–$27,238 |
| Iowa (statewide) | 11 | $9,784 | $11,191 | $11,650 | $6,977–$21,698 |
| Kansas (statewide) | 12 | $13,506 | $18,310 | $24,766 | $6,035–$27,127 |
| Kentucky (statewide) | 6 | $15,046 | $17,823 | $28,176 | $8,913–$35,189 |
| Las Vegas NV | 1 | — | — | — | $7,340–$7,340 |
| Los Angeles CA | 16 | $14,520 | $17,275 | $24,028 | $13,890–$46,877 |
| Louisiana (statewide) | 22 | $11,930 | $14,782 | $15,789 | $8,200–$25,218 |
| Maine (statewide) | 8 | $31,184 | $32,895 | $51,267 | $31,184–$54,907 |
| Massachusetts (statewide) | 3 | — | — | — | $14,803–$21,095 |
| Michigan (statewide) | 16 | $12,793 | $14,108 | $18,508 | $8,272–$20,912 |
| Minneapolis-St. Paul MN | 6 | $8,666 | $8,912 | $9,306 | $8,630–$9,356 |
| Minnesota (statewide) | 11 | $24,628 | $36,112 | $43,569 | $9,356–$58,164 |
| Mississippi (statewide) | 14 | $7,923 | $10,431 | $15,136 | $7,548–$39,191 |
| Missouri (statewide) | 12 | $18,472 | $22,864 | $26,263 | $6,897–$38,731 |
| Montana (statewide) | 3 | — | — | — | $27,026–$32,477 |
| Nashville TN | 6 | $19,564 | $19,564 | $20,862 | $19,564–$21,636 |
| Nebraska (statewide) | 10 | $12,110 | $12,110 | $14,033 | $7,340–$25,244 |
| Nevada (statewide) | 3 | — | — | — | $7,340–$7,352 |
| New Hampshire (statewide) | 5 | $30,414 | $30,943 | $32,799 | $22,684–$57,492 |
| New Jersey (statewide) | 20 | $14,180 | $15,041 | $19,279 | $8,458–$25,059 |
| New Mexico (statewide) | 3 | — | — | — | $42,855–$66,130 |
| New York (statewide) | 21 | $23,013 | $25,044 | $28,773 | $10,734–$37,643 |
| New York City | 8 | $24,039 | $24,596 | $31,061 | $10,526–$38,297 |
| North Carolina (statewide) | 7 | $12,916 | $14,000 | $14,000 | $7,178–$29,500 |
| North Dakota (statewide) | 4 | — | — | — | $17,860–$30,070 |
| Ohio (statewide) | 33 | $16,715 | $26,234 | $30,006 | $10,608–$49,348 |
| Oklahoma (statewide) | 5 | $19,421 | $24,065 | $26,232 | $9,718–$28,400 |
| Oregon (statewide) | 6 | $16,934 | $32,108 | $46,291 | $13,546–$60,492 |
| Pennsylvania (statewide) | 24 | $13,580 | $26,708 | $43,543 | $7,295–$69,857 |
| Philadelphia PA | 9 | $10,734 | $12,920 | $12,990 | $7,992–$17,334 |
| Phoenix AZ | 8 | $11,308 | $12,646 | $12,646 | $7,292–$12,646 |
| Pittsburgh PA | 1 | — | — | — | $8,251–$8,251 |
| Portland OR | 9 | $23,856 | $23,856 | $49,619 | $21,408–$49,619 |
| Rhode Island (statewide) | 4 | — | — | — | $15,150–$26,366 |
| Richmond VA | 3 | — | — | — | $25,280–$28,422 |
| Rio Grande Valley TX | 4 | — | — | — | $8,958–$17,968 |
| Salt Lake City UT | 9 | $10,994 | $11,368 | $11,368 | $10,994–$11,743 |
| San Antonio TX | 2 | — | — | — | $25,239–$25,239 |
| San Diego CA | 2 | — | — | — | $28,434–$30,449 |
| San Francisco Bay Area CA | 4 | — | — | — | $11,970–$43,842 |
| Seattle-Tacoma WA | 16 | $33,491 | $34,286 | $43,040 | $24,124–$49,169 |
| South Carolina (statewide) | 17 | $20,654 | $22,211 | $27,358 | $13,546–$30,328 |
| South Dakota (statewide) | 2 | — | — | — | $20,401–$23,319 |
| Tampa FL | 6 | $17,068 | $17,068 | $18,056 | $17,068–$20,226 |
| Tennessee (statewide) | 23 | $12,078 | $13,099 | $19,564 | $6,772–$21,442 |
| Texas (statewide) | 64 | $12,860 | $19,497 | $23,782 | $7,347–$32,884 |
| Utah (statewide) | 7 | $8,720 | $10,994 | $11,181 | $7,871–$46,919 |
| Virginia (statewide) | 19 | $33,132 | $36,624 | $38,411 | $15,406–$43,511 |
| Washington (statewide) | 12 | $28,348 | $34,292 | $40,975 | $13,441–$67,542 |
| Washington DC | 8 | $22,080 | $22,080 | $28,928 | $11,866–$30,393 |
| West Virginia (statewide) | 3 | — | — | — | $14,999–$85,473 |
| Wisconsin (statewide) | 35 | $16,039 | $20,120 | $23,406 | $8,650–$35,534 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Atrium Health Navicent The Medical Center | Georgia (statewide) | $6,029 | 0.5× | 2 | 2025-11-19 |
| Ascension Via Christi Hospital Manhattan, Inc | Kansas (statewide) | $6,035 | 0.5× | 1 | 2026-01-01 |
| Baptist Memorial Hospital Union City | Tennessee (statewide) | $6,772 | 0.6× | 1 | 2026-02-25 |
| Boone Hospital Center | Missouri (statewide) | $6,897 | 0.5× | 1 | 2026-04-01 |
| Chi St Luke's Health Brazosport | Houston TX | $6,958 | 0.5× | 1 | 2026-02-28 |
| Uf Health Shands Hospital | Florida (statewide) | $6,961 | 0.5× | 1 | 2026-03-31 |
| Gulf Breeze Hospital | Florida (statewide) | $6,961 | 0.5× | 1 | 2025-12-23 |
| Trinity Muscatine | Iowa (statewide) | $6,977 | 0.6× | 3 | 2026-01-28 |
| Finley Hospital | Iowa (statewide) | $6,977 | 0.6× | 3 | 2026-01-28 |
| Trinity Rock Island | Illinois (statewide) | $6,977 | 0.5× | 3 | 2026-01-28 |
| Baptist Hospital | Florida (statewide) | $7,112 | 0.5× | 2 | 2025-12-23 |
| Baptist Medical Center Jacksonville | Florida (statewide) | $7,150 | 0.5× | 2 | 2026-02-06 |
| Northern Light A R Gould Hospital | Maine (statewide) | $54,907 | 4.3× | 3 | 2026-03-30 |
| Providence Centralia Hospital | Washington (statewide) | $55,588 | 3.9× | 3 | 2026-04-01 |
| Penn State Health St. Joseph | Pennsylvania (statewide) | $56,776 | 4.3× | 1 | 2026-03-27 |
| Elliot Hospital | New Hampshire (statewide) | $57,492 | 4.2× | 1 | 2026-04-01 |
| Sanford Bemidji Medical Center | Minnesota (statewide) | $58,164 | 4.4× | 1 | 2026-03-04 |
| Lehigh Valley Hospital - Hazleton | Pennsylvania (statewide) | $59,722 | 4.8× | 8 | 2026-07-01 |
| Providence Medford Medical Center | Oregon (statewide) | $60,492 | 4.0× | 2 | 2026-04-01 |
| Lehigh Valley Hospital - Pocono | Pennsylvania (statewide) | $62,062 | 5.0× | 8 | 2026-07-01 |
| Presbyterian Santa Fe Medical Center | New Mexico (statewide) | $66,130 | 5.0× | 1 | 2026-04-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $67,542 | 4.5× | 3 | 2026-08-27 |
| Lehigh Valley Hospital - Macungie | Pennsylvania (statewide) | $69,857 | 5.3× | 8 | 2026-07-01 |
| Logan Regional Medical Center | West Virginia (statewide) | $85,473 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 468: Revision of Hip Or Knee Replacement Without Cc/McC
1483 hospitals in 83 markets. National Medicare rate $19,997.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $22,820 | $26,986 | $31,705 | $18,412–$62,459 |
| Alaska (statewide) | 3 | — | — | — | $24,014–$86,736 |
| Arizona (statewide) | 28 | $35,292 | $47,277 | $57,950 | $15,509–$76,959 |
| Arkansas (statewide) | 11 | $23,954 | $25,581 | $27,074 | $20,210–$32,262 |
| Atlanta GA | 10 | $47,338 | $52,586 | $54,289 | $47,338–$77,228 |
| Austin TX | 13 | $17,333 | $28,712 | $31,639 | $13,463–$37,380 |
| Boston MA | 14 | $23,602 | $25,419 | $29,531 | $19,487–$40,052 |
| California (statewide) | 53 | $31,071 | $38,492 | $48,280 | $20,371–$117,712 |
| Charlotte NC | 8 | $39,942 | $43,256 | $53,721 | $30,827–$53,721 |
| Chicago IL | 10 | $33,051 | $37,722 | $43,781 | $24,914–$51,113 |
| Cleveland OH | 11 | $21,036 | $32,602 | $36,834 | $20,310–$55,630 |
| Colorado (statewide) | 16 | $33,972 | $49,402 | $63,543 | $16,837–$86,400 |
| Columbus OH | 3 | — | — | — | $49,789–$73,638 |
| Connecticut (statewide) | 6 | $28,696 | $46,352 | $57,144 | $16,238–$63,273 |
| Dallas-Fort Worth TX | 15 | $26,598 | $37,122 | $37,122 | $25,540–$63,432 |
| Delaware (statewide) | 2 | — | — | — | $33,516–$49,785 |
| Denver CO | 15 | $26,610 | $30,262 | $54,582 | $23,356–$70,756 |
| Detroit MI | 17 | $37,643 | $37,643 | $49,486 | $31,230–$62,080 |
| Florida (statewide) | 93 | $27,074 | $31,489 | $52,470 | $16,282–$82,542 |
| Georgia (statewide) | 44 | $36,529 | $51,853 | $61,584 | $21,370–$77,228 |
| Hawaii (statewide) | 11 | $54,525 | $56,577 | $65,599 | $47,403–$69,640 |
| Houston TX | 19 | $29,855 | $33,094 | $40,866 | $25,964–$58,860 |
| Idaho (statewide) | 15 | $46,202 | $56,277 | $65,199 | $20,677–$77,179 |
| Illinois (statewide) | 41 | $26,082 | $31,286 | $40,510 | $18,497–$59,439 |
| Indiana (statewide) | 49 | $20,198 | $34,182 | $46,175 | $14,948–$60,070 |
| Indianapolis IN | 6 | $15,419 | $33,098 | $59,296 | $15,260–$62,294 |
| Iowa (statewide) | 18 | $25,083 | $29,685 | $37,529 | $22,196–$44,517 |
| Kansas (statewide) | 23 | $25,310 | $27,951 | $35,224 | $14,288–$86,736 |
| Kentucky (statewide) | 27 | $23,987 | $27,213 | $34,708 | $16,220–$68,306 |
| Las Vegas NV | 2 | — | — | — | $29,035–$51,119 |
| Los Angeles CA | 18 | $41,634 | $46,576 | $49,659 | $36,752–$60,456 |
| Louisiana (statewide) | 24 | $20,630 | $24,624 | $27,522 | $15,650–$35,632 |
| Maine (statewide) | 13 | $53,245 | $74,520 | $83,089 | $28,032–$83,089 |
| Maryland (statewide) | 1 | — | — | — | $20,367–$20,367 |
| Massachusetts (statewide) | 8 | $31,136 | $36,536 | $39,469 | $19,592–$56,956 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $25,023–$46,870 |
| Michigan (statewide) | 38 | $32,404 | $36,110 | $43,857 | $17,757–$57,158 |
| Minneapolis-St. Paul MN | 15 | $41,099 | $45,051 | $45,806 | $20,721–$51,837 |
| Minnesota (statewide) | 22 | $34,281 | $35,066 | $44,640 | $15,087–$57,158 |
| Mississippi (statewide) | 17 | $27,672 | $29,678 | $32,173 | $19,205–$45,526 |
| Missouri (statewide) | 27 | $25,022 | $29,662 | $33,236 | $14,574–$63,432 |
| Montana (statewide) | 7 | $28,020 | $45,164 | $55,855 | $12,523–$94,234 |
| Nashville TN | 8 | $22,213 | $22,646 | $30,355 | $21,490–$50,367 |
| Nebraska (statewide) | 15 | $44,434 | $46,810 | $53,654 | $30,712–$65,630 |
| Nevada (statewide) | 5 | $37,296 | $51,119 | $54,577 | $34,688–$66,622 |
| New Hampshire (statewide) | 8 | $30,134 | $35,430 | $45,291 | $17,103–$64,633 |
| New Jersey (statewide) | 21 | $47,100 | $52,540 | $59,793 | $25,874–$80,593 |
| New Mexico (statewide) | 10 | $26,608 | $31,478 | $41,956 | $18,408–$78,992 |
| New York (statewide) | 47 | $31,150 | $35,632 | $48,374 | $19,937–$84,116 |
| New York City | 9 | $51,459 | $52,931 | $75,022 | $23,378–$84,611 |
| North Carolina (statewide) | 26 | $30,881 | $35,171 | $53,721 | $22,753–$65,955 |
| North Dakota (statewide) | 7 | $30,762 | $33,338 | $35,708 | $27,097–$47,364 |
| Ohio (statewide) | 49 | $34,050 | $45,784 | $50,892 | $17,652–$75,200 |
| Oklahoma (statewide) | 17 | $22,036 | $25,888 | $28,908 | $14,966–$50,631 |
| Oregon (statewide) | 12 | $44,634 | $46,993 | $55,219 | $24,516–$71,128 |
| Pennsylvania (statewide) | 57 | $27,962 | $41,218 | $48,513 | $18,686–$64,980 |
| Philadelphia PA | 11 | $47,679 | $51,274 | $58,952 | $45,526–$80,593 |
| Phoenix AZ | 11 | $45,740 | $45,740 | $51,838 | $44,671–$56,230 |
| Pittsburgh PA | 7 | $31,248 | $33,331 | $38,131 | $26,730–$41,958 |
| Portland OR | 9 | $53,861 | $58,535 | $69,970 | $52,759–$69,970 |
| Research Triangle NC | 9 | $29,525 | $36,634 | $41,481 | $19,381–$46,118 |
| Rhode Island (statewide) | 6 | $37,038 | $48,028 | $54,344 | $25,878–$57,918 |
| Richmond VA | 7 | $26,424 | $52,031 | $52,031 | $25,666–$74,127 |
| Rio Grande Valley TX | 7 | $30,526 | $33,663 | $37,774 | $27,714–$59,260 |
| Salt Lake City UT | 9 | $42,602 | $42,602 | $42,602 | $41,870–$42,602 |
| San Antonio TX | 3 | — | — | — | $30,383–$50,278 |
| San Diego CA | 7 | $31,116 | $38,472 | $42,027 | $30,258–$45,398 |
| San Francisco Bay Area CA | 2 | — | — | — | $33,544–$43,752 |
| Seattle-Tacoma WA | 16 | $56,743 | $58,826 | $61,151 | $53,831–$74,439 |
| South Carolina (statewide) | 29 | $48,032 | $53,586 | $69,218 | $20,070–$83,278 |
| South Dakota (statewide) | 4 | — | — | — | $30,228–$44,696 |
| St. Louis MO | 7 | $34,778 | $38,008 | $38,008 | $14,042–$53,832 |
| Tampa FL | 11 | $52,661 | $53,026 | $56,728 | $42,484–$60,948 |
| Tennessee (statewide) | 31 | $22,986 | $26,910 | $29,912 | $20,135–$50,367 |
| Texas (statewide) | 89 | $26,852 | $32,419 | $39,727 | $13,463–$68,306 |
| Utah (statewide) | 6 | $42,959 | $50,012 | $57,694 | $20,158–$58,261 |
| Vermont (statewide) | 3 | — | — | — | $32,796–$72,495 |
| Virginia (statewide) | 24 | $43,110 | $50,900 | $55,841 | $20,486–$94,608 |
| Washington (statewide) | 14 | $43,504 | $50,756 | $55,936 | $21,447–$80,152 |
| Washington DC | 11 | $40,824 | $51,451 | $53,017 | $21,972–$57,862 |
| West Virginia (statewide) | 11 | $15,712 | $16,213 | $43,320 | $13,500–$66,188 |
| Wisconsin (statewide) | 47 | $41,534 | $46,760 | $57,158 | $13,088–$66,098 |
| Wyoming (statewide) | 2 | — | — | — | $43,624–$48,010 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mccone County Health Center | Montana (statewide) | $12,523 | 0.6× | 1 | 2026-01-01 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $13,088 | 0.7× | 2 | 2026-08-07 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $13,463 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $13,463 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Edgar B Davis | Texas (statewide) | $13,463 | 0.7× | 1 | 2026-01-01 |
| Dell Children'S Medical Center | Texas (statewide) | $13,463 | 0.7× | 1 | 2026-01-01 |
| Cedar Park Regional Medical Center | Austin TX | $13,463 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Smithville | Texas (statewide) | $13,463 | 0.7× | 1 | 2026-01-01 |
| Wetzel County Hospital | West Virginia (statewide) | $13,500 | 0.7× | 2 | 2026-07-10 |
| Mercy Hospital South | St. Louis MO | $14,042 | 0.7× | 1 | 2026-06-10 |
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $14,288 | 0.8× | 3 | 2025-12-19 |
| Lafayette Regional Health Center | Missouri (statewide) | $14,574 | 0.7× | 4 | 2026-09-01 |
| Cherokee Medical Center | South Carolina (statewide) | $83,278 | 4.6× | 4 | 2026-04-01 |
| Loma Linda University Children'S Hospital | California (statewide) | $83,308 | 3.2× | 3 | 2026-09-02 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $84,116 | 3.4× | 10 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $84,611 | 3.4× | 9 | 2026-01-01 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $86,400 | 4.2× | 4 | 2026-03-22 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $86,614 | 3.4× | 1 | 2026-03-12 |
| Providence Alaska Medical Center | Alaska (statewide) | $86,736 | 4.0× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $86,736 | 4.7× | 4 | 2026-04-01 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $87,084 | 4.6× | 1 | 2025-12-15 |
| Providence St Joseph Medical Center | Montana (statewide) | $94,234 | 4.7× | 1 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $94,608 | 5.0× | 1 | 2025-12-15 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $117,712 | 4.6× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 467: Revision of Hip Or Knee Replacement With Cc
1481 hospitals in 83 markets. National Medicare rate $25,662.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $29,418 | $33,404 | $40,688 | $23,628–$81,552 |
| Alaska (statewide) | 4 | — | — | — | $30,679–$113,244 |
| Arizona (statewide) | 28 | $41,132 | $60,161 | $70,069 | $17,391–$86,301 |
| Arkansas (statewide) | 10 | $30,689 | $33,066 | $35,849 | $26,388–$41,402 |
| Atlanta GA | 10 | $61,806 | $67,486 | $69,672 | $61,806–$100,830 |
| Austin TX | 13 | $22,244 | $32,274 | $36,807 | $18,049–$43,604 |
| Boston MA | 14 | $30,360 | $32,621 | $36,975 | $25,009–$72,216 |
| California (statewide) | 51 | $38,903 | $48,685 | $61,252 | $20,371–$133,603 |
| Charlotte NC | 8 | $52,152 | $56,479 | $68,942 | $39,561–$68,942 |
| Chicago IL | 11 | $39,592 | $47,805 | $55,954 | $23,356–$65,595 |
| Cleveland OH | 11 | $25,438 | $39,207 | $46,889 | $24,495–$72,950 |
| Colorado (statewide) | 16 | $43,598 | $63,774 | $81,546 | $21,607–$110,880 |
| Columbus OH | 3 | — | — | — | $63,896–$94,502 |
| Connecticut (statewide) | 5 | $46,796 | $64,865 | $74,904 | $24,821–$94,419 |
| Dallas-Fort Worth TX | 15 | $33,356 | $45,555 | $45,936 | $32,154–$82,818 |
| Delaware (statewide) | 2 | — | — | — | $42,818–$61,851 |
| Denver CO | 15 | $34,038 | $38,837 | $70,047 | $29,713–$91,463 |
| Detroit MI | 16 | $47,847 | $48,308 | $56,076 | $37,620–$66,880 |
| Florida (statewide) | 93 | $33,474 | $37,726 | $67,337 | $18,509–$105,928 |
| Georgia (statewide) | 44 | $49,652 | $67,124 | $79,550 | $26,736–$100,830 |
| Hawaii (statewide) | 11 | $56,577 | $60,834 | $74,950 | $49,358–$81,628 |
| Houston TX | 19 | $37,044 | $42,062 | $51,327 | $33,810–$72,348 |
| Idaho (statewide) | 16 | $53,126 | $66,827 | $85,664 | $36,358–$93,407 |
| Illinois (statewide) | 41 | $32,621 | $40,847 | $52,894 | $23,738–$76,280 |
| Indiana (statewide) | 48 | $26,983 | $45,191 | $59,257 | $16,326–$77,090 |
| Indianapolis IN | 6 | $18,509 | $41,532 | $76,096 | $18,360–$79,944 |
| Iowa (statewide) | 18 | $32,561 | $37,927 | $45,829 | $28,951–$58,126 |
| Kansas (statewide) | 24 | $29,135 | $33,133 | $44,739 | $15,958–$113,244 |
| Kentucky (statewide) | 28 | $30,791 | $34,658 | $45,747 | $21,177–$79,002 |
| Las Vegas NV | 2 | — | — | — | $37,910–$67,897 |
| Los Angeles CA | 18 | $52,173 | $59,888 | $64,835 | $47,165–$77,585 |
| Louisiana (statewide) | 24 | $26,817 | $31,686 | $34,834 | $20,086–$46,098 |
| Maine (statewide) | 13 | $69,522 | $95,634 | $106,630 | $31,034–$106,630 |
| Maryland (statewide) | 1 | — | — | — | $65,096–$65,096 |
| Massachusetts (statewide) | 8 | $39,937 | $45,644 | $50,337 | $25,143–$58,040 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $31,579–$60,150 |
| Michigan (statewide) | 37 | $40,800 | $46,190 | $54,554 | $27,790–$73,353 |
| Minneapolis-St. Paul MN | 15 | $52,744 | $58,819 | $59,286 | $26,892–$64,304 |
| Minnesota (statewide) | 22 | $44,285 | $45,002 | $57,859 | $19,361–$73,353 |
| Mississippi (statewide) | 17 | $35,513 | $37,385 | $40,316 | $26,717–$58,425 |
| Missouri (statewide) | 28 | $32,346 | $37,267 | $42,596 | $15,687–$82,818 |
| Montana (statewide) | 7 | $35,959 | $57,742 | $77,028 | $16,351–$122,497 |
| Nashville TN | 8 | $28,342 | $29,511 | $44,015 | $27,142–$65,764 |
| Nebraska (statewide) | 15 | $57,516 | $61,117 | $70,632 | $40,100–$84,226 |
| Nevada (statewide) | 5 | $44,173 | $47,234 | $67,897 | $29,481–$70,040 |
| New Hampshire (statewide) | 8 | $35,454 | $46,258 | $58,389 | $22,234–$82,946 |
| New Jersey (statewide) | 21 | $58,880 | $67,203 | $80,382 | $31,124–$103,867 |
| New Mexico (statewide) | 10 | $34,114 | $40,794 | $54,778 | $24,034–$103,133 |
| New York (statewide) | 47 | $40,095 | $46,098 | $62,079 | $25,585–$109,823 |
| New York City | 9 | $66,039 | $67,928 | $79,237 | $30,523–$107,740 |
| North Carolina (statewide) | 28 | $33,226 | $39,864 | $68,942 | $25,255–$84,642 |
| North Dakota (statewide) | 7 | $39,008 | $43,530 | $46,004 | $32,360–$61,841 |
| Ohio (statewide) | 48 | $39,221 | $60,206 | $65,624 | $22,653–$92,360 |
| Oklahoma (statewide) | 16 | $27,962 | $32,460 | $37,462 | $16,493–$63,608 |
| Oregon (statewide) | 11 | $57,147 | $58,025 | $71,394 | $31,462–$92,360 |
| Pennsylvania (statewide) | 60 | $38,564 | $52,324 | $61,194 | $23,981–$95,238 |
| Philadelphia PA | 11 | $60,620 | $64,692 | $73,630 | $58,425–$103,867 |
| Phoenix AZ | 11 | $58,700 | $58,700 | $63,575 | $54,402–$67,956 |
| Pittsburgh PA | 7 | $37,080 | $40,260 | $44,971 | $34,303–$52,271 |
| Portland OR | 9 | $68,883 | $74,932 | $90,956 | $68,612–$90,956 |
| Research Triangle NC | 9 | $32,606 | $47,833 | $48,195 | $23,607–$53,234 |
| Rhode Island (statewide) | 6 | $47,611 | $62,055 | $67,835 | $32,869–$74,328 |
| Richmond VA | 7 | $32,002 | $66,773 | $66,773 | $31,036–$96,786 |
| Rio Grande Valley TX | 7 | $36,981 | $43,201 | $45,814 | $35,056–$49,640 |
| Salt Lake City UT | 9 | $54,672 | $54,672 | $54,672 | $53,916–$54,672 |
| San Antonio TX | 3 | — | — | — | $35,160–$59,957 |
| San Diego CA | 7 | $39,342 | $39,797 | $53,544 | $34,450–$57,984 |
| San Francisco Bay Area CA | 2 | — | — | — | $42,916–$57,124 |
| Seattle-Tacoma WA | 16 | $70,964 | $76,470 | $79,843 | $68,718–$97,188 |
| South Carolina (statewide) | 30 | $57,790 | $70,193 | $83,635 | $24,029–$106,874 |
| South Dakota (statewide) | 4 | — | — | — | $38,793–$57,360 |
| St. Louis MO | 7 | $40,170 | $40,170 | $42,847 | $18,021–$67,516 |
| Tampa FL | 11 | $68,174 | $69,235 | $72,800 | $54,521–$78,216 |
| Tennessee (statewide) | 33 | $29,019 | $34,535 | $37,484 | $26,380–$65,764 |
| Texas (statewide) | 88 | $34,618 | $40,865 | $48,812 | $18,049–$89,047 |
| Utah (statewide) | 5 | $57,235 | $72,878 | $75,828 | $54,672–$75,828 |
| Vermont (statewide) | 3 | — | — | — | $42,822–$94,655 |
| Virginia (statewide) | 22 | $49,290 | $65,878 | $71,967 | $32,061–$111,758 |
| Washington (statewide) | 12 | $58,068 | $67,275 | $77,651 | $51,158–$104,673 |
| Washington DC | 11 | $49,373 | $67,154 | $69,224 | $27,994–$74,256 |
| West Virginia (statewide) | 11 | $20,653 | $21,314 | $54,396 | $17,746–$84,942 |
| Wisconsin (statewide) | 48 | $51,789 | $61,054 | $73,353 | $17,688–$84,825 |
| Wyoming (statewide) | 1 | — | — | — | $57,083–$57,083 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital Perry | Missouri (statewide) | $15,687 | 0.6× | 1 | 2026-03-12 |
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $15,958 | 0.7× | 3 | 2025-12-19 |
| Lafayette Regional Health Center | Missouri (statewide) | $16,278 | 0.7× | 4 | 2026-09-01 |
| Schneck Medical Center | Indiana (statewide) | $16,326 | 0.6× | 1 | 2024-01-24 |
| Mccone County Health Center | Montana (statewide) | $16,351 | 0.6× | 1 | 2026-01-01 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $16,493 | 0.7× | 1 | 2026-01-01 |
| Northern Cochise Community Hospital, Inc. | Arizona (statewide) | $17,391 | 0.7× | 1 | 2026-07-29 |
| Ascension St John Nowata | Oklahoma (statewide) | $17,614 | 0.7× | 2 | 2026-01-01 |
| Ascension Columbia St Mary'S Hospital Milwaukee Ca | Wisconsin (statewide) | $17,688 | 0.7× | 7 | 2026-01-01 |
| Wetzel County Hospital | West Virginia (statewide) | $17,746 | 0.7× | 2 | 2026-07-10 |
| Mercy Hospital South | St. Louis MO | $18,021 | 0.7× | 1 | 2026-06-10 |
| Ascension St Vincent Evansville | Indiana (statewide) | $18,036 | 0.7× | 4 | 2026-01-01 |
| Cherokee Medical Center | South Carolina (statewide) | $106,874 | 4.6× | 4 | 2026-04-01 |
| Loma Linda University Children'S Hospital | California (statewide) | $106,912 | 3.2× | 3 | 2026-09-02 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $107,740 | 3.4× | 9 | 2026-01-01 |
| Albany Medical Center Hospital | New York (statewide) | $108,199 | 3.4× | 3 | 2025-12-31 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $109,823 | 3.4× | 10 | 2026-04-01 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $110,586 | 3.4× | 1 | 2026-03-12 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $110,880 | 4.2× | 4 | 2026-03-22 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $111,758 | 4.6× | 1 | 2025-12-15 |
| Providence Alaska Medical Center | Alaska (statewide) | $113,244 | 4.0× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $113,244 | 4.8× | 4 | 2026-04-01 |
| Providence St Joseph Medical Center | Montana (statewide) | $122,497 | 4.8× | 1 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $133,603 | 4.0× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 466: Revision of Hip Or Knee Replacement With McC
1427 hospitals in 83 markets. National Medicare rate $37,878.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 21 | $42,402 | $48,177 | $56,551 | $34,876–$121,300 |
| Alaska (statewide) | 4 | — | — | — | $45,051–$168,443 |
| Arizona (statewide) | 28 | $58,092 | $84,333 | $97,379 | $40,459–$111,022 |
| Arkansas (statewide) | 9 | $44,246 | $49,482 | $52,558 | $39,249–$61,111 |
| Atlanta GA | 10 | $91,932 | $99,612 | $114,610 | $91,932–$149,979 |
| Austin TX | 13 | $32,834 | $44,543 | $50,429 | $27,523–$64,362 |
| Boston MA | 14 | $40,426 | $47,127 | $51,162 | $35,278–$75,869 |
| California (statewide) | 53 | $58,031 | $71,399 | $93,762 | $32,298–$169,169 |
| Charlotte NC | 8 | $77,568 | $84,006 | $101,760 | $58,394–$101,760 |
| Chicago IL | 10 | $63,749 | $73,258 | $84,522 | $48,384–$96,820 |
| Cleveland OH | 11 | $56,746 | $64,000 | $70,338 | $38,992–$92,307 |
| Colorado (statewide) | 16 | $67,402 | $97,492 | $120,366 | $31,893–$163,663 |
| Columbus OH | 3 | — | — | — | $105,805–$139,489 |
| Connecticut (statewide) | 4 | — | — | — | $76,756–$111,951 |
| Dallas-Fort Worth TX | 15 | $46,052 | $67,241 | $67,680 | $44,392–$123,185 |
| Delaware (statewide) | 1 | — | — | — | $87,678–$87,678 |
| Denver CO | 15 | $55,678 | $66,629 | $103,392 | $41,644–$135,441 |
| Detroit MI | 15 | $70,740 | $71,305 | $84,145 | $58,553–$102,208 |
| Florida (statewide) | 92 | $47,439 | $50,340 | $100,289 | $24,633–$156,354 |
| Georgia (statewide) | 44 | $70,227 | $97,940 | $116,656 | $38,306–$149,979 |
| Hawaii (statewide) | 11 | $56,577 | $73,668 | $95,050 | $49,358–$107,478 |
| Houston TX | 19 | $48,775 | $59,279 | $75,602 | $45,900–$101,432 |
| Idaho (statewide) | 15 | $84,416 | $100,276 | $110,553 | $53,710–$137,519 |
| Illinois (statewide) | 39 | $48,038 | $57,332 | $76,162 | $39,410–$112,593 |
| Indiana (statewide) | 37 | $60,206 | $74,255 | $96,766 | $26,213–$151,868 |
| Indianapolis IN | 5 | $24,983 | $95,285 | $118,001 | $24,983–$132,259 |
| Iowa (statewide) | 18 | $47,961 | $57,396 | $67,818 | $43,013–$86,455 |
| Kansas (statewide) | 21 | $42,414 | $47,446 | $68,097 | $22,057–$168,443 |
| Kentucky (statewide) | 23 | $49,885 | $58,786 | $69,336 | $31,499–$117,507 |
| Las Vegas NV | 2 | — | — | — | $56,387–$95,282 |
| Los Angeles CA | 18 | $78,510 | $91,828 | $97,817 | $69,617–$118,585 |
| Louisiana (statewide) | 23 | $40,266 | $46,326 | $51,815 | $29,320–$68,216 |
| Maine (statewide) | 13 | $103,406 | $141,160 | $157,390 | $39,550–$157,390 |
| Maryland (statewide) | 1 | — | — | — | $42,526–$42,526 |
| Massachusetts (statewide) | 7 | $54,062 | $59,530 | $66,270 | $37,112–$71,043 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $32,819–$88,784 |
| Michigan (statewide) | 36 | $58,856 | $68,178 | $79,113 | $41,019–$108,272 |
| Minneapolis-St. Paul MN | 15 | $74,961 | $87,490 | $87,779 | $39,739–$92,568 |
| Minnesota (statewide) | 21 | $66,425 | $66,425 | $86,343 | $28,578–$108,272 |
| Mississippi (statewide) | 18 | $48,990 | $53,672 | $58,686 | $29,430–$86,238 |
| Missouri (statewide) | 25 | $49,138 | $52,634 | $64,781 | $36,894–$123,185 |
| Montana (statewide) | 7 | $53,076 | $84,862 | $113,341 | $24,320–$177,200 |
| Nashville TN | 8 | $38,951 | $44,287 | $61,571 | $37,462–$97,816 |
| Nebraska (statewide) | 15 | $85,382 | $90,906 | $102,204 | $59,644–$124,321 |
| Nevada (statewide) | 5 | $68,664 | $95,282 | $103,382 | $64,624–$122,649 |
| New Hampshire (statewide) | 8 | $41,734 | $68,806 | $86,361 | $30,786–$122,431 |
| New Jersey (statewide) | 21 | $87,586 | $98,819 | $118,647 | $48,861–$151,250 |
| New Mexico (statewide) | 10 | $51,633 | $62,740 | $81,478 | $35,748–$153,403 |
| New York (statewide) | 46 | $59,076 | $68,984 | $91,631 | $37,765–$163,354 |
| New York City | 9 | $97,476 | $97,622 | $130,667 | $45,400–$159,028 |
| North Carolina (statewide) | 25 | $42,146 | $66,858 | $101,760 | $31,506–$124,935 |
| North Dakota (statewide) | 7 | $57,779 | $64,745 | $68,024 | $45,448–$91,982 |
| Ohio (statewide) | 45 | $57,132 | $78,497 | $94,638 | $33,437–$137,048 |
| Oklahoma (statewide) | 13 | $43,329 | $54,167 | $56,343 | $40,171–$94,609 |
| Oregon (statewide) | 11 | $84,386 | $85,155 | $103,730 | $46,440–$137,048 |
| Pennsylvania (statewide) | 58 | $53,983 | $78,310 | $89,744 | $35,397–$117,882 |
| Philadelphia PA | 11 | $90,026 | $96,291 | $110,140 | $86,238–$151,250 |
| Phoenix AZ | 11 | $85,103 | $85,103 | $89,266 | $80,918–$94,400 |
| Pittsburgh PA | 7 | $53,749 | $60,260 | $67,149 | $48,328–$78,328 |
| Portland OR | 9 | $102,458 | $110,288 | $132,645 | $101,010–$132,645 |
| Research Triangle NC | 9 | $55,598 | $71,137 | $78,576 | $37,639–$81,329 |
| Rhode Island (statewide) | 7 | $58,514 | $82,982 | $97,824 | $38,178–$109,712 |
| Richmond VA | 7 | $42,454 | $98,559 | $98,559 | $40,979–$147,168 |
| Rio Grande Valley TX | 6 | $51,416 | $57,985 | $63,566 | $44,189–$68,552 |
| Salt Lake City UT | 9 | $80,699 | $80,699 | $80,699 | $79,614–$80,699 |
| San Antonio TX | 3 | — | — | — | $47,667–$80,106 |
| San Diego CA | 7 | $53,437 | $58,279 | $78,374 | $50,129–$85,123 |
| San Francisco Bay Area CA | 2 | — | — | — | $60,050–$95,702 |
| Seattle-Tacoma WA | 16 | $103,933 | $112,070 | $118,758 | $101,472–$144,561 |
| South Carolina (statewide) | 27 | $61,037 | $104,212 | $118,220 | $30,722–$157,750 |
| South Dakota (statewide) | 3 | — | — | — | $66,968–$84,666 |
| St. Louis MO | 5 | $57,112 | $57,112 | $59,080 | $56,369–$100,388 |
| Tampa FL | 11 | $101,020 | $102,980 | $107,456 | $78,472–$115,451 |
| Tennessee (statewide) | 30 | $43,193 | $49,409 | $54,236 | $31,846–$97,816 |
| Texas (statewide) | 87 | $47,551 | $60,976 | $71,132 | $27,523–$132,452 |
| Utah (statewide) | 6 | $81,223 | $95,268 | $111,014 | $38,184–$112,104 |
| Vermont (statewide) | 3 | — | — | — | $63,693–$140,789 |
| Virginia (statewide) | 24 | $55,794 | $96,797 | $103,258 | $24,482–$164,959 |
| Washington (statewide) | 12 | $86,383 | $99,064 | $114,577 | $78,420–$215,407 |
| Washington DC | 11 | $68,225 | $99,885 | $102,962 | $40,270–$109,605 |
| West Virginia (statewide) | 12 | $27,683 | $29,200 | $80,739 | $23,614–$125,377 |
| Wisconsin (statewide) | 46 | $84,144 | $90,811 | $108,272 | $47,609–$125,205 |
| Wyoming (statewide) | 1 | — | — | — | $75,973–$75,973 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $22,057 | 0.7× | 3 | 2025-12-19 |
| Wetzel County Hospital | West Virginia (statewide) | $23,614 | 0.7× | 2 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $24,320 | 0.6× | 1 | 2026-01-01 |
| Bon Secours Southside Medical Center | Virginia (statewide) | $24,482 | 0.7× | 3 | 2026-04-01 |
| Ascension St Vincent'S St Johns County | Florida (statewide) | $24,633 | 0.6× | 3 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $24,983 | 0.6× | 1 | 2026-01-01 |
| Ascension St Vincent Fishers | Indianapolis IN | $24,983 | 0.6× | 1 | 2026-01-01 |
| Ascension St Vincent Kokomo | Indiana (statewide) | $26,213 | 0.7× | 1 | 2026-01-01 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $26,982 | 0.8× | 2 | 2026-07-10 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $27,078 | 0.8× | 3 | 2026-07-09 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $27,523 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $27,523 | 0.7× | 1 | 2026-01-01 |
| Loma Linda University Children'S Hospital | California (statewide) | $157,807 | 3.2× | 3 | 2026-09-02 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $159,028 | 3.4× | 9 | 2026-01-01 |
| Albany Medical Center Hospital | New York (statewide) | $160,933 | 3.4× | 3 | 2025-12-31 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $163,354 | 3.5× | 10 | 2026-04-01 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $163,663 | 4.2× | 4 | 2026-03-22 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $163,866 | 3.4× | 1 | 2026-03-12 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $164,959 | 4.6× | 1 | 2025-12-15 |
| Providence Alaska Medical Center | Alaska (statewide) | $168,443 | 4.1× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $168,443 | 4.8× | 4 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $169,169 | 3.5× | 1 | 2026-03-12 |
| Providence St Joseph Medical Center | Montana (statewide) | $177,200 | 4.7× | 1 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $215,407 | 5.2× | 2 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for knee replacement revision?
Across 815 hospitals in 73 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27487, hospital outpatient is $22,309, 1.2× the same hospital's local Medicare base rate. The middle half of hospitals runs $16,603 to $30,733. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for knee replacement revision?
Medicare's national hospital outpatient rate for CPT 27487 is $17,914 and its surgery-center rate is $13,964, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for knee replacement revision?
Lowest medians: Jefferson County Hospital ($8,052), Floyd Cherokee Medical Center ($8,378), Chi St Vincent Hospital Hot Springs ($8,505). Highest: Elliot Hospital ($78,517), Penn State Health St. Joseph ($77,539), Providence Medford Medical Center ($73,592). Coverage: every hospital whose price file we could read.