MS-DRG 467
REVISION OF HIP OR KNEE RE
Relative Weight
3.5266
Geometric Mean LOS
3.1 Days
Arithmetic Mean LOS
4.1 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 14,134 | $152,642.08 | $29,591.27 | $25,327.29 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 52 | $35,011.58 | $29,657.76 |
| AL | 217 | $23,771.66 | $20,188.77 |
| AR | 161 | $25,794.92 | $22,402.49 |
| AZ | 344 | $27,222.90 | $23,886.91 |
| CA | 991 | $37,680.89 | $33,964.98 |
| CO | 325 | $28,312.67 | $23,996.94 |
| CT | 149 | $33,538.39 | $29,236.41 |
| DC | 51 | $32,552.65 | $28,217.83 |
| DE | 43 | $30,807.74 | $25,240.30 |
| FL | 1,161 | $26,237.44 | $22,159.53 |
| GA | 203 | $28,344.35 | $23,939.38 |
| HI | 12 | $37,352.50 | $34,730.00 |
| IA | 145 | $25,680.54 | $21,960.10 |
| ID | 70 | $26,743.69 | $24,582.22 |
| IL | 544 | $32,288.49 | $24,542.08 |
| IN | 312 | $26,822.51 | $23,579.18 |
| KS | 216 | $25,440.83 | $22,212.74 |
| KY | 177 | $27,358.37 | $22,943.94 |
| LA | 144 | $27,093.36 | $23,917.85 |
| MA | 411 | $34,062.39 | $30,427.14 |
| MD | 261 | $42,557.09 | $40,669.71 |
| ME | 21 | $39,463.90 | $24,814.76 |
| MI | 295 | $27,484.77 | $23,433.10 |
| MN | 508 | $29,083.40 | $25,146.94 |
| MO | 298 | $26,475.62 | $23,352.08 |
| MS | 112 | $23,803.05 | $20,626.45 |
| MT | 49 | $26,677.16 | $25,206.28 |
| NC | 478 | $27,178.17 | $24,016.67 |
| ND | 99 | $26,191.69 | $23,935.84 |
| NE | 167 | $25,808.19 | $21,745.24 |
| NH | 107 | $31,703.02 | $26,957.74 |
| NJ | 300 | $30,484.22 | $28,091.20 |
| NM | 27 | $25,522.79 | $24,125.56 |
| NV | 85 | $29,037.40 | $24,496.06 |
| NY | 818 | $35,644.24 | $31,176.55 |
| OH | 556 | $27,035.11 | $22,205.25 |
| OK | 272 | $24,417.53 | $22,380.03 |
| OR | 131 | $34,468.42 | $31,268.23 |
| PA | 704 | $29,517.91 | $24,099.31 |
| RI | 43 | $29,570.66 | $23,425.55 |
| SC | 215 | $27,139.95 | $22,405.33 |
| SD | 138 | $24,936.52 | $23,288.10 |
| TN | 382 | $26,119.15 | $22,117.49 |
| TX | 1,114 | $29,538.74 | $23,638.53 |
| UT | 170 | $28,180.36 | $23,610.40 |
| VA | 440 | $26,033.88 | $22,629.38 |
| VT | 21 | $18,193.67 | $15,767.38 |
| WA | 258 | $33,151.51 | $26,103.37 |
| WI | 255 | $29,136.91 | $23,092.18 |
| WV | 66 | $30,254.30 | $22,294.59 |
| WY | 16 | $44,689.19 | $43,363.19 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 3.5266 | 3.1 | Yes |
| 2024-10-01 | 3.4252 | 3.0 | Yes |
| 2023-10-01 | 3.4863 | 3.2 | Yes |
| 2022-10-01 | 3.6259 | 3.4 | Yes |
| 2021-10-01 | 3.5775 | 3.3 | Yes |
| 2020-10-01 | 3.5762 | 3.3 | Yes |
| 2019-10-01 | 3.5121 | 3.3 | Yes |
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