MS-DRG 486
KNEE PROCEDURES WITH PRINC
Relative Weight
2.0911
Geometric Mean LOS
5.1 Days
Arithmetic Mean LOS
6.0 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 147 | $98,424.97 | $22,128.09 | $17,140.99 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| CA | 13 | $39,723.85 | $28,411.54 |
| FL | 12 | $23,120.00 | $15,145.50 |
| IA | 13 | $14,836.31 | $13,140.69 |
| IL | 14 | $17,771.00 | $15,745.57 |
| MN | 36 | $20,713.71 | $16,900.65 |
| NJ | 13 | $19,575.54 | $17,731.77 |
| NY | 23 | $31,455.57 | $19,951.13 |
| OH | 12 | $16,457.25 | $12,480.08 |
| SD | 11 | $16,913.91 | $15,002.36 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.0911 | 5.1 | No |
| 2024-10-01 | 2.1209 | 5.1 | No |
| 2023-10-01 | 2.0083 | 5.0 | No |
| 2022-10-01 | 2.0860 | 4.9 | No |
| 2021-10-01 | 2.1494 | 5.2 | No |
| 2020-10-01 | 2.1484 | 5.2 | No |
| 2019-10-01 | 2.1506 | 5.1 | No |
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