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

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

- Insurer: Cigna Healthcare (incl. HealthPartners, Priority Health, Sagamore)
- Billing code: 470 (Hospital stays (inpatient))
- Price shown: negotiated in-network price, hospital stay, facility fee
- Prices as of: 2026-09-01
- 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 |
|---|---|---|---|---|---|---|---|---|
| Alabama | 116 | $9,098.62 | $16,056.17 | $24,377.44 | $29,896.02 | $59,803.62 | $14,554.97 | 1.7x Medicare |
| Alaska | 11 | $77,611.22 | $77,611.22 | $77,611.22 | $81,000.30 | $84,389.38 | $22,367.66 | 3.5x Medicare |
| American Samoa | 1 | $50,851.59 | $50,851.59 | $50,851.59 | $50,851.59 | $50,851.59 |  |  |
| Arizona | 133 | $14,912.33 | $25,494.27 | $29,894.09 | $49,730.90 | $63,200.41 | $15,381.09 | 1.9x Medicare |
| Arkansas | 117 | $9,451.61 | $18,087.30 | $22,539.20 | $30,206.57 | $36,766.76 | $12,966.17 | 1.7x Medicare |
| California | 268 | $12,657.00 | $32,755.62 | $41,222.52 | $68,263.77 | $99,355.71 | $21,621.68 | 1.9x Medicare |
| Colorado | 178 | $4,622.00 | $28,376.05 | $43,367.46 | $47,342.92 | $64,442.62 | $15,834.89 | 2.7x Medicare |
| Connecticut | 70 | $19,935.18 | $29,174.61 | $44,846.93 | $47,991.90 | $71,213.77 | $19,326.37 | 2.3x Medicare |
| Delaware | 4 | $37,978.11 | $37,978.11 | $37,978.11 | $37,978.11 | $37,978.11 | $16,993.78 | 2.2x Medicare |
| District of Columbia | 16 | $22,280.72 | $33,418.19 | $36,830.42 | $41,949.72 | $85,546.72 | $19,491.88 | 1.9x Medicare |
| Florida | 376 | $12,200.29 | $28,933.50 | $37,230.67 | $45,470.00 | $78,075.00 | $15,466.06 | 2.4x Medicare |
| Georgia | 162 | $14,144.62 | $29,896.02 | $38,518.20 | $40,956.00 | $60,760.35 | $16,510.65 | 2.3x Medicare |
| Guam | 2 | $50,851.59 | $50,851.59 | $50,851.59 | $50,851.59 | $50,851.59 |  |  |
| Hawaii | 12 | $18,287.90 | $50,851.59 | $50,851.59 | $50,851.59 | $50,851.59 | $20,777.07 | 2.5x Medicare |
| Idaho | 15 | $28,430.06 | $46,411.26 | $51,086.92 | $56,598.75 | $64,203.44 | $15,223.46 | 3.4x Medicare |
| Illinois | 275 | $10,469.00 | $18,035.22 | $21,314.35 | $25,945.16 | $48,126.06 | $16,408.49 | 1.3x Medicare |
| Indiana | 174 | $11,766.29 | $20,619.94 | $27,249.57 | $50,375.15 | $71,814.88 | $14,468.22 | 1.9x Medicare |
| Iowa | 29 | $19,819.45 | $19,819.45 | $19,819.45 | $19,819.45 | $68,192.40 | $13,830.84 | 1.4x Medicare |
| Kansas | 50 | $15,638.65 | $24,255.92 | $24,255.92 | $27,133.84 | $44,499.72 | $13,938.16 | 1.7x Medicare |
| Kentucky | 95 | $14,063.00 | $21,243.94 | $22,355.95 | $27,249.57 | $50,375.15 | $14,058.62 | 1.6x Medicare |
| Louisiana | 65 | $9,560.00 | $18,781.70 | $29,857.44 | $35,283.44 | $35,283.44 | $13,103.95 | 2.3x Medicare |
| Maine | 20 | $25,062.20 | $29,789.93 | $29,789.93 | $57,867.00 | $57,867.00 | $18,052.03 | 1.6x Medicare |
| Maryland | 15 | $22,280.72 | $22,280.72 | $23,418.77 | $23,418.77 | $23,418.77 | $25,078.72 | 0.9x Medicare |
| Massachusetts | 53 | $17,002.33 | $17,980.24 | $30,764.98 | $43,018.33 | $52,194.11 | $17,887.64 | 1.7x Medicare |
| Michigan | 41 | $30,370.53 | $30,370.53 | $30,370.53 | $30,370.53 | $30,370.53 | $16,186.18 | 1.9x Medicare |
| Minnesota | 22 | $18,287.90 | $38,282.88 | $38,282.88 | $38,282.88 | $68,192.40 | $16,572.91 | 2.3x Medicare |
| Mississippi | 116 | $12,537.85 | $17,762.01 | $20,253.45 | $22,761.02 | $49,254.46 | $13,518.55 | 1.5x Medicare |
| Missouri | 170 | $9,002.00 | $19,501.00 | $21,900.73 | $25,517.42 | $64,239.00 | $14,460.34 | 1.5x Medicare |
| Montana | 20 | $44,908.65 | $44,908.65 | $44,908.65 | $44,908.65 | $46,411.26 | $14,308.06 | 3.1x Medicare |
| Nebraska | 38 | $19,055.60 | $19,819.45 | $30,285.66 | $37,511.32 | $68,192.40 | $14,687.04 | 2.1x Medicare |
| Nevada | 73 | $20,789.00 | $20,907.00 | $23,230.00 | $33,647.73 | $62,806.00 | $18,716.35 | 1.2x Medicare |
| New Hampshire | 35 | $16,631.00 | $24,884.00 | $38,037.91 | $40,438.42 | $63,183.00 | $16,133.75 | 2.4x Medicare |
| New Jersey | 154 | $15,224.81 | $29,470.00 | $37,978.11 | $52,574.12 | $104,002.33 | $17,454.77 | 2.2x Medicare |
| New Mexico | 32 | $12,167.17 | $16,346.45 | $25,411.33 | $25,411.33 | $41,832.05 | $18,266.37 | 1.4x Medicare |
| New York | 303 | $22,847.82 | $35,821.60 | $46,970.64 | $57,324.00 | $138,290.56 | $23,235.14 | 2.0x Medicare |
| North Carolina | 223 | $16,314.64 | $22,182.35 | $35,078.98 | $38,662.39 | $47,707.48 | $15,558.51 | 2.2x Medicare |
| North Dakota | 12 | $8,867.15 | $68,192.40 | $68,192.40 | $68,192.40 | $68,192.40 | $15,533.95 | 4.4x Medicare |
| Northern Mariana Islands | 1 | $50,851.59 | $50,851.59 | $50,851.59 | $50,851.59 | $50,851.59 |  |  |
| Ohio | 221 | $11,791.37 | $23,798.77 | $30,428.40 | $35,453.18 | $49,424.20 | $14,131.56 | 2.1x Medicare |
| Oklahoma | 102 | $12,537.85 | $21,934.96 | $27,356.05 | $46,714.10 | $46,714.10 | $14,253.40 | 1.9x Medicare |
| Oregon | 49 | $18,287.90 | $40,800.09 | $43,786.03 | $57,674.11 | $76,880.17 | $18,924.69 | 2.3x Medicare |
| Pennsylvania | 361 | $10,871.28 | $26,821.35 | $33,917.78 | $43,390.61 | $71,567.00 | $15,447.14 | 2.2x Medicare |
| Puerto Rico | 12 | $8,483.30 | $8,483.30 | $8,483.30 | $8,483.30 | $8,483.30 |  |  |
| Rhode Island | 6 | $30,993.57 | $52,194.11 | $52,194.11 | $53,096.83 | $53,096.83 | $16,805.41 | 3.1x Medicare |
| South Carolina | 160 | $18,287.90 | $39,397.78 | $39,473.01 | $55,887.95 | $66,181.00 | $14,217.35 | 2.8x Medicare |
| South Dakota | 12 | $68,192.40 | $68,192.40 | $68,192.40 | $68,192.40 | $68,192.40 | $13,720.84 | 5.0x Medicare |
| Tennessee | 214 | $8,101.38 | $20,992.16 | $27,912.49 | $33,846.41 | $41,378.76 | $14,538.56 | 1.9x Medicare |
| Texas | 492 | $8,867.15 | $24,742.97 | $35,806.17 | $45,903.96 | $102,602.05 | $14,713.96 | 2.4x Medicare |
| U.S. Virgin Islands | 4 | $8,483.30 | $8,483.30 | $8,483.30 | $8,483.30 | $8,483.30 |  |  |
| Utah | 35 | $18,287.90 | $29,646.73 | $41,940.07 | $49,048.28 | $56,620.93 | $17,030.51 | 2.5x Medicare |
| Vermont | 17 | $23,141.01 | $23,141.01 | $27,434.74 | $53,602.20 | $53,602.20 | $11,942.77 | 2.3x Medicare |
| Virginia | 196 | $11,515.53 | $24,404.44 | $33,613.01 | $41,038.00 | $51,306.81 | $15,613.28 | 2.1x Medicare |
| Washington | 108 | $18,287.90 | $37,150.61 | $46,411.26 | $55,689.27 | $67,102.57 | $17,691.54 | 2.6x Medicare |
| West Virginia | 28 | $20,201.37 | $26,451.01 | $28,252.60 | $28,688.05 | $36,612.45 | $15,365.07 | 1.8x Medicare |
| Wisconsin | 67 | $15,489.07 | $38,282.88 | $38,282.88 | $43,921.05 | $62,388.34 | $14,936.04 | 2.6x Medicare |
| Wyoming | 22 | $28,933.50 | $50,220.84 | $50,220.84 | $50,220.84 | $68,192.40 | $22,396.88 | 2.2x 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/cigna/statemap_470_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)