WASHINGTON — Hospitals within the same city sometimes charge tens of thousands of dollars more for the same procedures, according to figures the government released for the first time Wednesday. The federal list sheds new light on the mystery of just how high a hospital bill might go — and whether it’s cheaper to get the care somewhere else.

There are vast disparities nationally. The average charges for joint replacement range from about $5,300 at an Ada, Okla., hospital to $223,000 in Monterey Park, Calif.

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