MS-DRG 468
REVISION OF HIP OR KNEE RE
Relative Weight
2.7480
Geometric Mean LOS
1.5 Days
Arithmetic Mean LOS
1.8 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 9,115 | $128,032.54 | $23,625.64 | $19,704.52 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 50 | $23,922.36 | $21,290.50 |
| AL | 168 | $20,805.06 | $15,656.10 |
| AR | 176 | $19,885.83 | $18,093.65 |
| AZ | 331 | $21,605.73 | $18,279.07 |
| CA | 520 | $30,514.39 | $27,075.18 |
| CO | 194 | $24,179.71 | $20,965.83 |
| CT | 43 | $28,888.97 | $22,278.68 |
| DC | 76 | $26,634.19 | $21,311.61 |
| DE | 86 | $25,053.24 | $20,649.89 |
| FL | 743 | $21,466.84 | $17,397.17 |
| GA | 160 | $21,860.39 | $18,875.20 |
| IA | 99 | $20,094.41 | $17,549.64 |
| ID | 53 | $20,981.41 | $17,705.63 |
| IL | 270 | $25,026.37 | $19,875.35 |
| IN | 210 | $20,187.10 | $17,998.59 |
| KS | 139 | $19,473.87 | $15,991.79 |
| KY | 140 | $27,733.60 | $24,521.47 |
| LA | 104 | $20,091.07 | $16,442.58 |
| MA | 171 | $25,924.76 | $22,628.33 |
| MD | 217 | $36,404.28 | $32,881.57 |
| ME | 30 | $26,111.79 | $22,705.00 |
| MI | 144 | $24,990.68 | $17,538.09 |
| MN | 103 | $23,779.24 | $18,545.45 |
| MO | 192 | $19,627.10 | $17,288.36 |
| MS | 58 | $18,554.95 | $15,424.59 |
| MT | 100 | $21,074.99 | $18,436.51 |
| NC | 427 | $21,669.19 | $18,377.58 |
| ND | 34 | $21,046.62 | $19,408.12 |
| NE | 107 | $19,476.93 | $16,983.51 |
| NH | 57 | $23,341.43 | $21,782.33 |
| NJ | 192 | $24,008.04 | $21,974.24 |
| NM | 44 | $21,286.01 | $17,147.00 |
| NV | 98 | $23,276.37 | $20,369.74 |
| NY | 529 | $30,689.93 | $23,856.64 |
| OH | 294 | $21,945.96 | $16,870.99 |
| OK | 242 | $19,371.12 | $16,222.14 |
| OR | 73 | $31,456.08 | $19,257.18 |
| PA | 401 | $22,852.02 | $19,445.82 |
| RI | 48 | $22,530.30 | $19,141.81 |
| SC | 239 | $20,553.36 | $17,285.36 |
| SD | 92 | $18,930.91 | $17,348.30 |
| TN | 283 | $20,723.84 | $17,043.02 |
| TX | 603 | $24,139.21 | $19,195.27 |
| UT | 138 | $23,615.91 | $18,552.88 |
| VA | 399 | $22,093.16 | $17,784.70 |
| WA | 164 | $23,683.28 | $20,778.17 |
| WI | 48 | $21,630.23 | $19,140.15 |
| WY | 26 | $31,670.92 | $30,303.06 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.7480 | 1.5 | Yes |
| 2024-10-01 | 2.6233 | 1.5 | Yes |
| 2023-10-01 | 2.6696 | 1.6 | Yes |
| 2022-10-01 | 2.7893 | 1.8 | Yes |
| 2021-10-01 | 2.8024 | 1.9 | Yes |
| 2020-10-01 | 2.8040 | 1.9 | Yes |
| 2019-10-01 | 2.8121 | 2.0 | Yes |
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