MS-DRG 466
REVISION OF HIP OR KNEE RE
Relative Weight
5.2054
Geometric Mean LOS
7.1 Days
Arithmetic Mean LOS
9.1 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 992 | $302,633.79 | $69,936.56 | $63,061.76 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 22 | $50,823.14 | $41,550.00 |
| AR | 11 | $40,241.64 | $35,868.55 |
| AZ | 32 | $44,482.16 | $37,427.36 |
| CA | 76 | $77,884.22 | $64,549.05 |
| CO | 11 | $36,653.45 | $34,806.00 |
| CT | 13 | $62,192.92 | $56,809.46 |
| DC | 11 | $38,924.27 | $38,078.45 |
| DE | 11 | $53,953.73 | $39,590.00 |
| FL | 118 | $37,247.16 | $34,183.80 |
| GA | 13 | $36,830.31 | $35,951.54 |
| IN | 43 | $509,258.24 | $504,626.38 |
| KY | 11 | $55,546.82 | $53,270.82 |
| MA | 42 | $62,191.52 | $53,120.94 |
| MI | 11 | $36,416.91 | $33,780.27 |
| MN | 28 | $58,062.00 | $52,531.61 |
| MT | 11 | $43,127.00 | $41,752.55 |
| NC | 12 | $42,652.58 | $34,659.92 |
| ND | 11 | $40,100.82 | $38,085.00 |
| NE | 44 | $40,787.04 | $36,598.84 |
| NH | 12 | $56,293.25 | $52,235.50 |
| NJ | 36 | $48,386.39 | $44,138.31 |
| NV | 22 | $36,539.59 | $34,361.55 |
| NY | 81 | $67,123.26 | $52,383.81 |
| OH | 40 | $54,896.98 | $35,598.10 |
| OK | 12 | $28,653.50 | $27,385.42 |
| OR | 41 | $59,799.14 | $56,611.21 |
| PA | 59 | $47,741.37 | $38,532.98 |
| SC | 13 | $35,255.54 | $29,464.31 |
| TN | 33 | $42,083.07 | $35,582.55 |
| TX | 70 | $47,326.06 | $37,127.99 |
| UT | 14 | $45,673.43 | $41,440.57 |
| WI | 12 | $35,941.67 | $33,987.17 |
| WV | 16 | $45,735.75 | $36,435.06 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 5.2054 | 7.1 | Yes |
| 2024-10-01 | 5.0946 | 7.1 | Yes |
| 2023-10-01 | 5.1866 | 7.2 | Yes |
| 2022-10-01 | 5.2451 | 7.1 | Yes |
| 2021-10-01 | 5.3457 | 7.0 | Yes |
| 2020-10-01 | 5.3450 | 7.0 | Yes |
| 2019-10-01 | 5.0991 | 6.4 | Yes |
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