MS-DRG 470
MAJOR HIP AND KNEE JOINT R
Relative Weight
1.9289
Geometric Mean LOS
1.9 Days
Arithmetic Mean LOS
2.2 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 59,121 | $94,789.92 | $16,723.58 | $13,945.55 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 245 | $24,992.60 | $21,445.75 |
| AL | 1,069 | $14,572.52 | $10,417.10 |
| AR | 294 | $13,615.93 | $11,600.47 |
| AZ | 1,348 | $15,648.22 | $13,766.51 |
| CA | 6,875 | $21,283.15 | $18,494.19 |
| CO | 525 | $16,403.58 | $13,315.67 |
| CT | 655 | $19,485.55 | $16,071.07 |
| DC | 132 | $20,476.20 | $16,981.35 |
| DE | 77 | $16,993.78 | $14,753.91 |
| FL | 3,655 | $15,606.36 | $12,545.11 |
| GA | 596 | $16,466.56 | $13,499.42 |
| HI | 114 | $20,681.71 | $14,658.63 |
| IA | 601 | $13,691.69 | $11,847.78 |
| ID | 158 | $15,589.64 | $13,196.14 |
| IL | 2,287 | $16,416.28 | $13,405.09 |
| IN | 1,382 | $14,863.95 | $12,774.00 |
| KS | 1,857 | $14,480.27 | $11,913.66 |
| KY | 448 | $14,367.81 | $12,211.44 |
| LA | 312 | $13,492.44 | $11,149.24 |
| MA | 3,696 | $18,692.03 | $15,821.71 |
| MD | 911 | $27,621.72 | $25,432.43 |
| ME | 65 | $17,482.35 | $15,113.68 |
| MI | 1,129 | $16,286.04 | $13,498.07 |
| MN | 875 | $16,477.00 | $13,625.85 |
| MO | 1,013 | $15,103.71 | $12,553.42 |
| MS | 609 | $13,846.68 | $11,600.79 |
| MT | 221 | $14,025.43 | $12,291.11 |
| NC | 2,173 | $15,472.31 | $12,719.16 |
| ND | 66 | $15,217.80 | $11,974.74 |
| NE | 311 | $14,670.70 | $12,043.33 |
| NH | 279 | $17,024.15 | $13,626.16 |
| NJ | 1,178 | $17,512.63 | $15,076.76 |
| NM | 220 | $15,862.41 | $12,673.06 |
| NV | 301 | $18,546.87 | $14,180.78 |
| NY | 6,517 | $20,459.41 | $16,826.25 |
| OH | 1,724 | $14,722.01 | $12,464.10 |
| OK | 987 | $14,247.92 | $12,097.78 |
| OR | 389 | $19,134.33 | $15,937.30 |
| PA | 3,540 | $15,225.74 | $12,691.17 |
| RI | 230 | $15,819.72 | $13,915.43 |
| SC | 559 | $14,587.05 | $11,989.15 |
| SD | 678 | $15,072.90 | $13,235.94 |
| TN | 1,269 | $14,162.84 | $11,893.04 |
| TX | 3,658 | $15,398.14 | $12,282.07 |
| UT | 490 | $15,628.76 | $12,881.53 |
| VA | 1,195 | $15,213.07 | $12,243.31 |
| VT | 61 | $11,786.07 | $8,486.47 |
| WA | 847 | $17,209.68 | $14,272.18 |
| WI | 790 | $15,134.51 | $12,257.06 |
| WV | 391 | $14,540.73 | $10,930.33 |
| WY | 119 | $22,040.62 | $20,500.17 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.9289 | 1.9 | Yes |
| 2024-10-01 | 1.8855 | 1.7 | Yes |
| 2023-10-01 | 1.8817 | 1.7 | Yes |
| 2022-10-01 | 1.9119 | 1.7 | Yes |
| 2021-10-01 | 1.9003 | 1.8 | Yes |
| 2020-10-01 | 1.8999 | 1.8 | Yes |
| 2019-10-01 | 1.9684 | 2.1 | Yes |
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