Revision of Hip or Knee Replacement Without Cc/Mcc in Texas
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$169,177typical hospital bill
$21,307typical amount paid
$16,536–$60,466range paid across 31 hospitals
Texas hospitals billed Medicare a typical $169,177 for this stay in 2024, about 7.9 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.