# Hip or knee replacement (hospital stay): what Horizon Blue Cross Blue Shield of New Jersey pays, by state

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

- Insurer: Horizon Blue Cross Blue Shield of New Jersey
- Billing code: 470 (Hospital stays (inpatient))
- Price shown: negotiated in-network price, hospital stay, facility fee
- Prices as of: 2026-09-11
- 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 |
|---|---|---|---|---|---|---|---|---|
| Arizona | 2 | $39,512.00 | $40,280.75 | $42,587.00 | $56,067.50 | $60,561.00 | $15,381.09 | 2.8x Medicare |
| Arkansas | 2 | $37,610.00 | $51,314.75 | $61,009.50 | $69,716.00 | $80,456.00 | $12,966.17 | 4.7x Medicare |
| California | 10 | $29,931.00 | $39,512.00 | $49,235.00 | $64,742.25 | $80,456.00 | $21,621.68 | 2.3x Medicare |
| Colorado | 2 | $33,363.00 | $36,018.75 | $39,178.00 | $68,214.50 | $79,621.00 | $15,834.89 | 2.5x Medicare |
| Connecticut | 5 | $29,931.00 | $39,036.50 | $42,568.50 | $52,839.00 | $80,456.00 | $19,326.37 | 2.2x Medicare |
| Delaware | 4 | $25,918.00 | $37,059.00 | $55,883.00 | $66,136.00 | $79,621.00 | $16,993.78 | 3.3x Medicare |
| District of Columbia | 1 | $25,918.00 | $26,416.50 | $26,915.00 | $27,413.50 | $27,912.00 | $19,491.88 | 1.4x Medicare |
| Florida | 13 | $25,433.00 | $28,248.25 | $49,653.50 | $59,391.50 | $66,136.00 | $15,466.06 | 3.2x Medicare |
| Georgia | 6 | $39,512.00 | $42,587.00 | $55,883.00 | $60,561.00 | $66,136.00 | $16,510.65 | 3.4x Medicare |
| Illinois | 2 | $37,610.00 | $51,314.75 | $61,009.50 | $69,716.00 | $80,456.00 | $16,408.49 | 3.7x Medicare |
| Indiana | 1 | $39,512.00 | $41,049.50 | $42,587.00 | $51,574.00 | $60,561.00 | $14,468.22 | 2.9x Medicare |
| Louisiana | 1 | $37,610.00 | $48,321.50 | $59,033.00 | $69,744.50 | $80,456.00 | $13,103.95 | 4.5x Medicare |
| Maine | 2 | $29,931.00 | $31,886.25 | $34,517.50 | $37,136.75 | $77,187.00 | $18,052.03 | 1.9x Medicare |
| Maryland | 6 | $29,931.00 | $39,512.00 | $42,587.00 | $60,561.00 | $80,456.00 | $25,078.72 | 1.7x Medicare |
| Massachusetts | 5 | $25,918.00 | $27,912.00 | $28,438.00 | $38,921.00 | $47,269.00 | $17,887.64 | 1.6x Medicare |
| Michigan | 3 | $37,059.00 | $39,036.50 | $41,942.00 | $65,326.00 | $80,456.00 | $16,186.18 | 2.6x Medicare |
| Minnesota | 1 | $37,059.00 | $39,178.00 | $41,297.00 | $60,459.00 | $79,621.00 | $16,572.91 | 2.5x Medicare |
| Missouri | 7 | $29,931.00 | $39,040.25 | $42,587.00 | $60,561.00 | $80,456.00 | $14,460.34 | 3.0x Medicare |
| Nebraska | 1 | $39,512.00 | $41,049.50 | $42,587.00 | $51,574.00 | $60,561.00 | $14,687.04 | 2.9x Medicare |
| New Hampshire | 2 | $25,918.00 | $27,413.50 | $41,897.50 | $58,446.25 | $66,136.00 | $16,133.75 | 2.6x Medicare |
| New Jersey | 1,126 | $13,596.00 | $39,512.00 | $47,218.50 | $60,561.00 | $101,038.00 | $17,454.77 | 2.7x Medicare |
| New Mexico | 2 | $29,931.00 | $37,116.75 | $41,049.50 | $47,080.50 | $60,561.00 | $18,266.37 | 2.2x Medicare |
| New York | 101 | $25,849.00 | $39,512.00 | $47,269.00 | $60,561.00 | $89,191.00 | $23,235.14 | 2.0x Medicare |
| North Carolina | 1 | $55,883.00 | $58,446.25 | $61,009.50 | $63,572.75 | $66,136.00 | $15,558.51 | 3.9x Medicare |
| Ohio | 2 | $25,918.00 | $27,413.50 | $41,897.50 | $58,446.25 | $66,136.00 | $14,131.56 | 3.0x Medicare |
| Oklahoma | 1 | $39,512.00 | $41,049.50 | $42,587.00 | $51,574.00 | $60,561.00 | $14,253.40 | 3.0x Medicare |
| Oregon | 1 | $55,883.00 | $58,446.25 | $61,009.50 | $63,572.75 | $66,136.00 | $18,924.69 | 3.2x Medicare |
| Pennsylvania | 483 | $18,237.00 | $27,912.00 | $37,610.00 | $55,883.00 | $146,801.00 | $15,447.14 | 2.4x Medicare |
| Rhode Island | 2 | $25,918.00 | $27,912.00 | $39,512.00 | $42,587.00 | $60,561.00 | $16,805.41 | 2.4x Medicare |
| South Carolina | 1 | $49,252.00 | $50,323.25 | $51,394.50 | $52,465.75 | $53,537.00 | $14,217.35 | 3.6x Medicare |
| Tennessee | 2 | $25,918.00 | $27,413.50 | $32,761.00 | $48,321.50 | $80,456.00 | $14,538.56 | 2.2x Medicare |
| Texas | 3 | $25,433.00 | $26,389.00 | $29,257.00 | $49,226.50 | $66,136.00 | $14,713.96 | 2.0x Medicare |
| Utah | 2 | $37,059.00 | $39,958.25 | $41,942.00 | $56,067.50 | $79,621.00 | $17,030.51 | 2.5x Medicare |
| West Virginia | 3 | $25,918.00 | $32,000.25 | $37,592.00 | $47,080.50 | $77,187.00 | $15,365.07 | 2.5x 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/horizon/statemap_470_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)