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

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

- Insurer: Kaiser Permanente
- 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 | 6 | $37,151.56 | $39,555.92 | $41,115.15 | $41,867.83 | $44,878.55 | $14,554.97 | 2.8x Medicare |
| Alaska | 7 | $34,237.98 | $39,555.92 | $40,926.98 | $41,867.83 | $45,465.86 | $22,367.66 | 1.8x Medicare |
| Arizona | 49 | $20,989.00 | $39,555.92 | $41,115.15 | $41,867.83 | $45,465.86 | $15,381.09 | 2.7x Medicare |
| Arkansas | 2 | $39,555.92 | $40,738.81 | $41,115.15 | $41,867.83 | $42,996.85 | $12,966.17 | 3.2x Medicare |
| California | 99 | $27,776.16 | $39,555.92 | $40,738.81 | $41,867.83 | $55,640.13 | $21,621.68 | 1.9x Medicare |
| Colorado | 32 | $27,776.16 | $39,555.92 | $41,115.15 | $41,867.83 | $44,878.55 | $15,834.89 | 2.6x Medicare |
| Connecticut | 8 | $34,237.98 | $40,738.81 | $41,115.15 | $41,867.83 | $42,996.85 | $19,326.37 | 2.1x Medicare |
| Delaware | 2 | $39,555.92 | $40,738.81 | $41,115.15 | $41,867.83 | $42,996.85 | $16,993.78 | 2.4x Medicare |
| District of Columbia | 5 | $27,776.16 | $39,405.02 | $40,738.81 | $41,867.83 | $42,996.85 | $19,491.88 | 2.1x Medicare |
| Florida | 41 | $34,237.98 | $39,555.92 | $41,115.15 | $41,867.83 | $55,640.13 | $15,466.06 | 2.7x Medicare |
| Georgia | 19 | $34,237.98 | $39,555.92 | $40,926.98 | $41,867.83 | $44,878.55 | $16,510.65 | 2.5x Medicare |
| Hawaii | 9 | $34,237.98 | $39,555.92 | $40,926.98 | $41,867.83 | $42,996.85 | $20,777.07 | 2.0x Medicare |
| Idaho | 38 | $20,989.00 | $40,738.81 | $41,115.15 | $41,867.83 | $42,996.85 | $15,223.46 | 2.7x Medicare |
| Illinois | 41 | $27,776.16 | $38,721.51 | $40,738.81 | $41,867.83 | $42,996.85 | $16,408.49 | 2.5x Medicare |
| Indiana | 20 | $34,237.98 | $39,555.92 | $41,115.15 | $41,867.83 | $45,465.86 | $14,468.22 | 2.8x Medicare |
| Iowa | 12 | $34,237.98 | $40,738.81 | $41,115.15 | $41,867.83 | $45,465.86 | $13,830.84 | 3.0x Medicare |
| Kansas | 13 | $27,776.16 | $39,555.92 | $40,738.81 | $41,867.83 | $42,996.85 | $13,938.16 | 2.9x Medicare |
| Kentucky | 6 | $34,237.98 | $40,147.37 | $41,115.15 | $41,867.83 | $42,996.85 | $14,058.62 | 2.9x Medicare |
| Louisiana | 6 | $34,237.98 | $40,147.37 | $41,115.15 | $41,867.83 | $42,996.85 | $13,103.95 | 3.1x Medicare |
| Maine | 3 | $39,555.92 | $40,738.81 | $41,115.15 | $41,867.83 | $42,996.85 | $18,052.03 | 2.3x Medicare |
| Maryland | 22 | $34,237.98 | $38,490.69 | $40,738.81 | $41,867.83 | $44,878.55 | $25,078.72 | 1.6x Medicare |
| Massachusetts | 16 | $27,776.16 | $39,103.22 | $40,738.81 | $41,867.83 | $55,640.13 | $17,887.64 | 2.3x Medicare |
| Michigan | 19 | $34,237.98 | $39,555.92 | $41,115.15 | $41,867.83 | $55,640.13 | $16,186.18 | 2.5x Medicare |
| Minnesota | 18 | $34,237.98 | $38,952.32 | $40,738.81 | $41,867.83 | $45,465.86 | $16,572.91 | 2.5x Medicare |
| Mississippi | 2 | $39,555.92 | $40,738.81 | $41,115.15 | $41,867.83 | $42,996.85 | $13,518.55 | 3.0x Medicare |
| Missouri | 13 | $34,237.98 | $39,555.92 | $41,115.15 | $41,867.83 | $42,996.85 | $14,460.34 | 2.8x Medicare |
| Montana | 13 | $20,989.00 | $39,555.92 | $40,926.98 | $41,867.83 | $45,465.86 | $14,308.06 | 2.9x Medicare |
| Nebraska | 4 | $20,989.00 | $36,146.13 | $40,926.98 | $42,714.60 | $55,640.13 | $14,687.04 | 2.8x Medicare |
| Nevada | 8 | $34,237.98 | $39,555.92 | $41,115.15 | $41,867.83 | $44,878.55 | $18,716.35 | 2.2x Medicare |
| New Hampshire | 1 | $39,555.92 | $40,738.81 | $41,115.15 | $41,867.83 | $42,996.85 | $16,133.75 | 2.5x Medicare |
| New Jersey | 15 | $27,776.16 | $40,738.81 | $41,115.15 | $41,867.83 | $44,878.55 | $17,454.77 | 2.4x Medicare |
| New Mexico | 10 | $39,555.92 | $40,738.81 | $41,115.15 | $41,867.83 | $55,640.13 | $18,266.37 | 2.2x Medicare |
| New York | 46 | $27,776.16 | $39,555.92 | $40,738.81 | $41,867.83 | $45,465.86 | $23,235.14 | 1.8x Medicare |
| North Carolina | 22 | $34,237.98 | $40,738.81 | $41,115.15 | $41,867.83 | $55,640.13 | $15,558.51 | 2.6x Medicare |
| North Dakota | 1 | $39,555.92 | $40,738.81 | $41,115.15 | $41,867.83 | $42,996.85 | $15,533.95 | 2.6x Medicare |
| Ohio | 29 | $27,776.16 | $39,555.92 | $41,115.15 | $41,867.83 | $55,640.13 | $14,131.56 | 2.9x Medicare |
| Oklahoma | 9 | $27,776.16 | $39,555.92 | $41,115.15 | $41,867.83 | $45,465.86 | $14,253.40 | 2.9x Medicare |
| Oregon | 65 | $20,989.00 | $39,555.92 | $41,115.15 | $41,867.83 | $55,640.13 | $18,924.69 | 2.2x Medicare |
| Pennsylvania | 34 | $27,776.16 | $39,555.92 | $41,115.15 | $41,867.83 | $44,878.55 | $15,447.14 | 2.7x Medicare |
| Puerto Rico | 2 | $34,237.98 | $35,545.05 | $37,375.41 | $38,267.83 | $38,952.32 |  |  |
| Rhode Island | 6 | $20,989.00 | $40,738.81 | $41,115.15 | $42,996.85 | $55,640.13 | $16,805.41 | 2.5x Medicare |
| South Carolina | 9 | $34,237.98 | $39,405.02 | $40,738.81 | $41,867.83 | $42,996.85 | $14,217.35 | 2.9x Medicare |
| South Dakota | 4 | $39,555.92 | $40,738.81 | $41,115.15 | $41,867.83 | $42,996.85 | $13,720.84 | 3.0x Medicare |
| Tennessee | 13 | $37,151.56 | $40,443.09 | $41,115.15 | $41,867.83 | $42,996.85 | $14,538.56 | 2.8x Medicare |
| Texas | 92 | $27,776.16 | $39,555.92 | $41,115.15 | $41,867.83 | $55,640.13 | $14,713.96 | 2.8x Medicare |
| Utah | 18 | $27,776.16 | $38,952.32 | $40,738.81 | $41,867.83 | $45,465.86 | $17,030.51 | 2.4x Medicare |
| Vermont | 3 | $39,555.92 | $40,738.81 | $41,115.15 | $41,867.83 | $42,996.85 | $11,942.77 | 3.4x Medicare |
| Virginia | 22 | $27,776.16 | $39,555.92 | $41,115.15 | $41,867.83 | $44,878.55 | $15,613.28 | 2.6x Medicare |
| Washington | 4,803 | $20,989.00 | $38,490.69 | $40,738.81 | $41,867.83 | $55,640.13 | $17,691.54 | 2.3x Medicare |
| West Virginia | 4 | $39,555.92 | $40,691.96 | $41,115.15 | $41,867.83 | $42,996.85 | $15,365.07 | 2.7x Medicare |
| Wisconsin | 20 | $27,776.16 | $39,555.92 | $41,115.15 | $41,867.83 | $55,640.13 | $14,936.04 | 2.8x Medicare |
| Wyoming | 4 | $34,237.98 | $39,555.92 | $41,115.15 | $41,867.83 | $42,996.85 | $22,396.88 | 1.8x 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/kaiser/statemap_470_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)