# Hip or knee replacement (hospital stay): what AvMed pays, by state

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

- Insurer: AvMed
- Billing code: 470 (Hospital stays (inpatient))
- Price shown: negotiated in-network price, hospital stay, facility fee
- Prices as of: 2026-10-01
- 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 |
|---|---|---|---|---|---|---|---|---|
| Florida | 172 | $8,600.00 | $17,483.00 | $20,446.00 | $31,270.84 | $48,924.62 | $15,466.06 | 1.3x Medicare |
| Georgia | 1 | $15,637.00 | $16,560.00 | $17,483.00 | $18,448.50 | $19,414.00 | $16,510.65 | 1.1x Medicare |
| Kentucky | 1 | $46,226.09 | $46,226.09 | $46,226.09 | $46,226.09 | $46,226.09 | $14,058.62 | 3.3x Medicare |
| New Jersey | 1 | $34,556.24 | $37,473.70 | $40,391.16 | $43,308.63 | $46,226.09 | $17,454.77 | 2.3x Medicare |
| New York | 3 | $15,637.00 | $17,483.00 | $19,414.00 | $27,419.31 | $46,226.09 | $23,235.14 | 0.8x Medicare |
| Oklahoma | 1 | $20,322.89 | $20,322.89 | $20,322.89 | $20,322.89 | $20,322.89 | $14,253.40 | 1.4x Medicare |
| Oregon | 1 | $38,655.16 | $38,655.16 | $38,655.16 | $38,655.16 | $38,655.16 | $18,924.69 | 2.0x Medicare |
| Pennsylvania | 1 | $15,637.00 | $16,560.00 | $17,483.00 | $18,448.50 | $19,414.00 | $15,447.14 | 1.1x 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/avmed/statemap_470_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)