# Hip or knee replacement (hospital stay): what Anthem Blue Cross and Blue Shield pays, by state

The whole hospital stay for a hip or knee joint replacement, without major complications - the most common inpatient surgery.

- Insurer: Anthem Blue Cross and Blue Shield
- Billing code: 470 (Hospital stays (inpatient))
- Price shown: negotiated in-network price, hospital stay, facility fee
- Prices as of: unknown
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest | Medicare pays | Median vs Medicare |
|---|---|---|---|---|---|---|---|---|
| Alabama | 1 | $13,251.58 | $14,281.13 | $15,310.68 | $16,340.22 | $17,369.77 | $14,554.97 | about what Medicare pays |
| Arkansas | 1 | $12,498.00 | $12,498.00 | $12,498.00 | $12,498.00 | $12,498.00 | $12,966.17 | about what Medicare pays |
| California | 164 | $10,653.00 | $37,457.30 | $67,759.00 | $81,223.00 | $96,890.57 | $21,621.68 | 3.1x Medicare |
| Colorado | 154 | $15,290.39 | $40,844.45 | $46,660.09 | $51,574.43 | $221,869.79 | $15,834.89 | 3.0x Medicare |
| Connecticut | 67 | $15,741.46 | $37,735.81 | $41,928.89 | $52,640.15 | $61,371.81 | $19,326.37 | 2.2x Medicare |
| Georgia | 109 | $2,406.80 | $14,214.00 | $33,268.54 | $47,639.16 | $71,045.45 | $16,510.65 | 2.0x Medicare |
| Illinois | 11 | $13,094.37 | $32,045.13 | $34,685.81 | $37,914.78 | $56,204.28 | $16,408.49 | 2.1x Medicare |
| Indiana | 141 | $1,500.00 | $30,098.07 | $35,713.58 | $43,294.16 | $55,974.74 | $14,468.22 | 2.5x Medicare |
| Kentucky | 143 | $10,591.58 | $22,220.92 | $26,791.28 | $30,681.08 | $50,521.74 | $14,058.62 | 1.9x Medicare |
| Maine | 42 | $32,384.93 | $41,916.01 | $44,177.24 | $44,963.54 | $44,963.54 | $18,052.03 | 2.5x Medicare |
| Massachusetts | 2 | $17,411.52 | $21,121.29 | $24,831.07 | $28,540.84 | $32,250.61 | $17,887.64 | 1.4x Medicare |
| Michigan | 1 | $30,274.08 | $30,274.08 | $30,274.08 | $30,274.08 | $30,274.08 | $16,186.18 | 1.9x Medicare |
| Minnesota | 5 | $21,217.90 | $21,217.90 | $32,268.56 | $32,268.56 | $32,268.56 | $16,572.91 | 1.9x Medicare |
| Missouri | 146 | $3,346.64 | $17,217.36 | $23,495.93 | $35,763.73 | $59,938.00 | $14,460.34 | 1.6x Medicare |
| Nevada | 42 | $21,107.95 | $25,997.82 | $39,781.47 | $39,781.47 | $48,384.52 | $18,716.35 | 2.1x Medicare |
| New Hampshire | 32 | $23,553.83 | $29,725.19 | $35,302.28 | $56,413.45 | $70,848.00 | $16,133.75 | 2.2x Medicare |
| New Jersey | 2 | $51,852.68 | $51,852.68 | $58,334.75 | $64,816.82 | $64,816.82 | $17,454.77 | 3.3x Medicare |
| New York | 104 | $25,403.61 | $52,178.19 | $63,244.00 | $70,445.35 | $101,953.93 | $23,235.14 | 2.7x Medicare |
| North Carolina | 2 | $16,831.58 | $20,310.44 | $23,789.29 | $27,268.15 | $30,747.00 | $15,558.51 | 1.5x Medicare |
| Ohio | 203 | $7,000.00 | $26,688.26 | $35,534.00 | $40,682.42 | $55,660.33 | $14,131.56 | 2.5x Medicare |
| Pennsylvania | 5 | $8,932.73 | $8,932.73 | $20,178.22 | $20,178.22 | $20,178.22 | $15,447.14 | 1.3x Medicare |
| Rhode Island | 2 | $26,763.48 | $26,763.48 | $26,763.48 | $26,763.48 | $26,763.48 | $16,805.41 | 1.6x Medicare |
| Tennessee | 7 | $17,412.18 | $25,767.73 | $29,139.39 | $34,067.00 | $42,810.00 | $14,538.56 | 2.0x Medicare |
| Virginia | 81 | $20,486.00 | $35,476.00 | $39,390.06 | $44,489.50 | $66,408.16 | $15,613.28 | 2.5x Medicare |
| Wisconsin | 155 | $11,573.40 | $29,521.81 | $34,779.99 | $42,518.74 | $75,163.44 | $14,936.04 | 2.3x 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.

Prices are what the insurer has agreed to pay, not what you will be billed. This is a statewide summary: prices vary far more between towns and between practices than these medians suggest, and "providers" counts everyone with a contracted price, not only those who perform the procedure.

Map: https://medicalpricetransparency.netlify.app/insurers/anthem/statemap_470_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)