# Hip or knee replacement (hospital stay): what UPMC Health Plan pays, by state

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

- Insurer: UPMC Health Plan
- 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 | 5 | $14,232.05 | $14,478.86 | $14,478.86 | $16,985.29 | $35,674.74 | $14,554.97 | about what Medicare pays |
| Alaska | 1 | $35,674.74 | $35,674.74 | $35,674.74 | $35,674.74 | $35,674.74 | $22,367.66 | 1.6x Medicare |
| Arizona | 11 | $10,968.83 | $14,478.86 | $14,478.86 | $15,891.06 | $35,674.74 | $15,381.09 | 0.9x Medicare |
| California | 34 | $13,834.96 | $14,478.86 | $14,478.86 | $16,960.25 | $35,674.74 | $21,621.68 | 0.7x Medicare |
| Colorado | 9 | $10,968.83 | $14,478.86 | $14,478.86 | $16,189.31 | $20,675.03 | $15,834.89 | 0.9x Medicare |
| Connecticut | 11 | $13,883.35 | $14,478.86 | $16,349.65 | $28,482.21 | $35,284.06 | $19,326.37 | 0.8x Medicare |
| Delaware | 9 | $14,478.86 | $16,362.35 | $16,985.29 | $17,015.82 | $35,284.06 | $16,993.78 | about what Medicare pays |
| District of Columbia | 2 | $14,478.86 | $15,380.08 | $16,281.30 | $25,500.75 | $34,720.20 | $19,491.88 | 0.8x Medicare |
| Florida | 148 | $13,342.32 | $14,892.35 | $15,387.05 | $16,321.50 | $35,674.74 | $15,466.06 | about what Medicare pays |
| Georgia | 12 | $13,689.80 | $14,478.86 | $14,478.86 | $16,176.85 | $35,674.74 | $16,510.65 | 0.9x Medicare |
| Hawaii | 2 | $14,478.86 | $15,105.47 | $15,732.08 | $16,358.68 | $16,985.29 | $20,777.07 | 0.8x Medicare |
| Idaho | 1 | $23,862.54 | $23,862.54 | $23,862.54 | $23,862.54 | $23,862.54 | $15,223.46 | 1.6x Medicare |
| Illinois | 24 | $13,689.80 | $14,478.86 | $14,478.86 | $16,349.65 | $35,674.74 | $16,408.49 | 0.9x Medicare |
| Indiana | 15 | $14,195.05 | $14,478.86 | $14,478.86 | $18,549.42 | $28,482.21 | $14,468.22 | about what Medicare pays |
| Iowa | 7 | $13,689.80 | $14,478.86 | $14,478.86 | $16,742.85 | $34,720.20 | $13,830.84 | about what Medicare pays |
| Kansas | 2 | $14,478.86 | $18,135.36 | $21,791.86 | $25,448.36 | $29,104.86 | $13,938.16 | 1.6x Medicare |
| Kentucky | 10 | $14,478.86 | $14,478.86 | $16,301.45 | $21,010.70 | $35,674.74 | $14,058.62 | 1.2x Medicare |
| Louisiana | 5 | $14,478.86 | $14,478.86 | $14,478.86 | $16,985.29 | $18,593.27 | $13,103.95 | 1.1x Medicare |
| Maine | 6 | $14,478.86 | $15,933.00 | $16,389.37 | $16,985.29 | $35,284.06 | $18,052.03 | 0.9x Medicare |
| Maryland | 30 | $13,689.80 | $14,478.86 | $16,221.28 | $20,273.97 | $35,674.74 | $25,078.72 | 0.7x Medicare |
| Massachusetts | 27 | $10,968.83 | $14,478.86 | $14,478.86 | $16,189.31 | $35,674.74 | $17,887.64 | 0.8x Medicare |
| Michigan | 35 | $10,968.83 | $14,478.86 | $14,478.86 | $14,478.86 | $16,985.29 | $16,186.18 | 0.9x Medicare |
| Minnesota | 28 | $14,478.86 | $14,478.86 | $14,478.86 | $16,349.65 | $35,674.74 | $16,572.91 | 0.9x Medicare |
| Mississippi | 1 | $16,742.85 | $17,899.00 | $19,055.16 | $20,211.32 | $21,367.47 | $13,518.55 | 1.4x Medicare |
| Missouri | 8 | $14,478.86 | $14,478.86 | $14,478.86 | $14,478.86 | $16,985.29 | $14,460.34 | about what Medicare pays |
| Montana | 3 | $19,565.64 | $19,946.00 | $20,956.18 | $25,298.36 | $35,674.74 | $14,308.06 | 1.5x Medicare |
| Nebraska | 1 | $14,478.86 | $14,478.86 | $14,478.86 | $14,478.86 | $14,478.86 | $14,687.04 | about what Medicare pays |
| Nevada | 6 | $14,195.05 | $14,355.46 | $14,478.86 | $16,349.65 | $28,482.21 | $18,716.35 | 0.8x Medicare |
| New Hampshire | 4 | $13,834.96 | $14,478.86 | $16,774.83 | $22,511.63 | $29,104.86 | $16,133.75 | about what Medicare pays |
| New Jersey | 31 | $13,723.89 | $15,376.02 | $16,482.09 | $25,905.13 | $35,284.06 | $17,454.77 | 0.9x Medicare |
| New Mexico | 2 | $14,232.05 | $14,355.46 | $14,478.86 | $15,043.00 | $15,607.13 | $18,266.37 | 0.8x Medicare |
| New York | 567 | $10,968.83 | $21,839.57 | $35,674.74 | $35,674.74 | $37,030.77 | $23,235.14 | 1.5x Medicare |
| North Carolina | 28 | $10,968.83 | $14,478.86 | $15,608.71 | $19,565.64 | $35,674.74 | $15,558.51 | about what Medicare pays |
| North Dakota | 2 | $16,349.65 | $17,710.22 | $19,070.80 | $21,364.69 | $23,658.57 | $15,533.95 | 1.2x Medicare |
| Ohio | 3,684 | $10,968.83 | $14,478.86 | $14,478.86 | $14,478.86 | $35,674.74 | $14,131.56 | about what Medicare pays |
| Oklahoma | 5 | $14,232.05 | $14,478.86 | $14,478.86 | $15,830.69 | $34,720.20 | $14,253.40 | about what Medicare pays |
| Oregon | 2 | $13,689.80 | $14,354.76 | $15,019.72 | $15,684.69 | $16,349.65 | $18,924.69 | 0.8x Medicare |
| Pennsylvania | 2,079 | $10,968.83 | $16,253.25 | $16,985.29 | $22,017.70 | $41,955.58 | $15,447.14 | 1.1x Medicare |
| Rhode Island | 3 | $14,478.86 | $14,478.86 | $15,380.08 | $20,891.02 | $34,720.20 | $16,805.41 | 0.9x Medicare |
| South Carolina | 13 | $10,968.83 | $14,478.86 | $15,607.13 | $16,332.56 | $35,674.74 | $14,217.35 | 1.1x Medicare |
| South Dakota | 5 | $13,689.80 | $14,478.86 | $14,478.86 | $14,478.86 | $14,478.86 | $13,720.84 | 1.1x Medicare |
| Tennessee | 13 | $13,689.80 | $14,478.86 | $14,478.86 | $17,451.93 | $30,067.43 | $14,538.56 | about what Medicare pays |
| Texas | 42 | $13,689.80 | $14,478.86 | $16,099.17 | $28,482.21 | $35,674.74 | $14,713.96 | 1.1x Medicare |
| Utah | 2 | $14,478.86 | $14,478.86 | $14,478.86 | $14,478.86 | $14,478.86 | $17,030.51 | 0.8x Medicare |
| Vermont | 1 | $14,195.05 | $17,766.84 | $21,338.63 | $24,910.42 | $28,482.21 | $11,942.77 | 1.8x Medicare |
| Virginia | 34 | $13,689.80 | $14,478.86 | $16,281.30 | $21,367.47 | $35,674.74 | $15,613.28 | about what Medicare pays |
| Washington | 10 | $10,968.83 | $14,478.86 | $14,478.86 | $14,478.86 | $35,674.74 | $17,691.54 | 0.8x Medicare |
| West Virginia | 193 | $10,968.83 | $14,232.05 | $14,232.05 | $15,607.13 | $28,482.21 | $15,365.07 | 0.9x Medicare |
| Wisconsin | 8 | $13,689.80 | $14,417.16 | $14,478.86 | $14,478.86 | $18,824.00 | $14,936.04 | about what Medicare pays |
| Wyoming | 1 | $35,674.74 | $35,674.74 | $35,674.74 | $35,674.74 | $35,674.74 | $22,396.88 | 1.6x 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/upmc/statemap_470_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)