Price AtlasInteractive atlas · All states · techysurgeon.comJoint replacement prices, state by state
Medicare 2024 medians for every state. Pick one for every hospital and surgery center in it.
| State | Surgery center (knee) | Outpatient (Medicare allowed) | Inpatient (avg total payment) | List price | Hospitals | Ortho ASCs |
|---|---|---|---|---|---|---|
| Alabama | $7,936 | $10,723 | $14,192 | $98,837 | 24 | 25 |
| Alaska | $9,768 | $14,334 | $26,024 | $98,676 | 3 | 8 |
| Arizona | $8,972 | $12,757 | $14,650 | $117,497 | 29 | 64 |
| Arkansas | $8,220 | $11,170 | $13,219 | $53,483 | 10 | 17 |
| California | $10,558 | $16,148 | $20,302 | $121,434 | 119 | 336 |
| Colorado | $8,995 | $12,485 | $15,258 | $109,790 | 17 | 58 |
| Connecticut | $9,655 | $14,655 | $19,133 | $65,021 | 12 | 25 |
| Delaware | $9,288 | $13,121 | $16,994 | $58,521 | 1 | 9 |
| District of Columbia | $9,158 | $13,400 | $21,877 | $103,535 | 4 | 1 |
| Florida | $8,501 | $11,843 | $15,159 | $140,470 | 88 | 189 |
| Georgia | $9,077 | $11,748 | $15,382 | $108,139 | 27 | 70 |
| Hawaii | $9,736 | $15,108 | $20,682 | $64,284 | 2 | 9 |
| Idaho | $8,634 | $11,828 | $15,269 | $72,763 | 7 | 13 |
| Illinois | $9,238 | $12,331 | $15,104 | $79,268 | 45 | 81 |
| Indiana | $8,775 | $11,804 | $14,441 | $83,131 | 34 | 65 |
| Iowa | $8,447 | $11,283 | $13,249 | $51,961 | 15 | 17 |
| Kansas | $8,659 | $11,329 | $14,458 | $63,017 | 21 | 20 |
| Kentucky | $8,524 | $11,173 | $14,274 | $74,651 | 14 | 15 |
| Louisiana | $8,217 | $10,930 | $13,363 | $79,954 | 10 | 29 |
| Maine | $8,975 | $12,042 | $18,640 | $72,166 | 3 | 3 |
| Maryland | $8,953 | — | $26,027 | $29,860 | 25 | 63 |
| Massachusetts | $9,266 | $13,959 | $16,911 | $40,803 | 39 | 13 |
| Michigan | $8,578 | $11,577 | $16,099 | $61,443 | 37 | 61 |
| Minnesota | $9,341 | $12,474 | $15,610 | $51,962 | 20 | 36 |
| Mississippi | $7,665 | $10,747 | $13,195 | $56,462 | 14 | 19 |
| Missouri | $8,800 | $11,480 | $14,232 | $60,018 | 32 | 31 |
| Montana | $8,267 | $12,278 | $14,153 | $56,447 | 6 | 14 |
| Nebraska | $8,849 | $11,789 | $14,230 | $66,353 | 11 | 16 |
| Nevada | $9,670 | $13,741 | $18,276 | $185,562 | 9 | 35 |
| New Hampshire | $9,012 | $12,510 | $15,393 | $69,614 | 8 | 16 |
| New Jersey | $9,631 | $13,754 | $17,025 | $82,167 | 26 | 111 |
| New Mexico | $8,600 | $11,360 | $15,008 | $100,343 | 6 | 5 |
| New York | $10,559 | $14,032 | $19,185 | $74,152 | 56 | 79 |
| North Carolina | $8,762 | $11,546 | $14,527 | $75,233 | 41 | 44 |
| North Dakota | $8,416 | $12,313 | $15,693 | $50,996 | 3 | 5 |
| Ohio | $8,388 | $11,186 | $14,679 | $61,270 | 42 | 58 |
| Oklahoma | $8,389 | $11,162 | $13,755 | $73,277 | 26 | 10 |
| Oregon | $9,748 | $13,662 | $19,625 | $62,545 | 13 | 37 |
| Pennsylvania | $8,802 | $12,031 | $14,469 | $73,572 | 64 | 61 |
| Rhode Island | $9,054 | $13,335 | $14,973 | $32,210 | 3 | 2 |
| South Carolina | $8,399 | $11,207 | $13,748 | $91,630 | 19 | 26 |
| South Dakota | $8,196 | $12,322 | $15,073 | $60,904 | 9 | 2 |
| Tennessee | $8,234 | $10,981 | $13,790 | $78,656 | 29 | 54 |
| Texas | $8,879 | $11,622 | $14,495 | $88,649 | 77 | 191 |
| Utah | $8,650 | $11,645 | $15,459 | $68,025 | 14 | 29 |
| Vermont | — | $6,522 | $9,520 | $43,983 | 3 | 0 |
| Virginia | $8,552 | $11,467 | $14,955 | $67,783 | 34 | 38 |
| Washington | $9,864 | $13,285 | $16,921 | $88,598 | 26 | 43 |
| West Virginia | $8,169 | $10,884 | $14,061 | $62,937 | 10 | 2 |
| Wisconsin | $8,881 | $11,897 | $14,377 | $69,371 | 20 | 31 |
| Wyoming | $8,832 | $13,194 | $22,542 | $51,257 | 5 | 9 |
Questions
How much does Medicare pay for a knee replacement?
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 the median average total payment to hospitals was $15,666 per inpatient stay (MS-DRG 470; Medicare's payment plus the patient's deductible and coinsurance).
How much of a joint replacement payment is the implant?
CMS counts 47% of the outpatient knee payment, 50% of the hip and 61% of the shoulder as the implant (device offset).
Why do hospitals charge more than surgery centers?
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.