Hip and knee replacements can increasingly be performed on a same-day basis in hospitals or ambulatory surgery centers.

“a hip and a knee replacement used to be a 4-day hospital stay now a lot of it is done on a same day basis in the hospital but you can also do it in an Ambulatory Surgery Center in an hour and again you recover and you walk out the same day and you go home and you do your PT at home and other things what is the difference there in the payer rate for those two about half it costs about half”