MS-DRG 488
KNEE PROCEDURES WITHOUT PR
Relative Weight
1.7689
Geometric Mean LOS
2.2 Days
Arithmetic Mean LOS
3.1 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 154 | $84,792.34 | $19,599.21 | $16,219.75 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| CA | 13 | $26,201.62 | $21,281.23 |
| IA | 11 | $15,156.73 | $13,668.09 |
| IL | 14 | $25,014.29 | $21,989.36 |
| MA | 12 | $16,203.83 | $14,399.33 |
| MD | 13 | $15,050.92 | $12,617.54 |
| MN | 13 | $25,674.54 | $18,689.62 |
| NY | 30 | $24,037.37 | $19,239.87 |
| PA | 12 | $18,938.25 | $16,455.83 |
| SD | 14 | $13,952.86 | $12,554.00 |
| TN | 11 | $18,467.45 | $15,185.55 |
| UT | 11 | $16,893.45 | $12,336.82 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.7689 | 2.2 | Yes |
| 2024-10-01 | 1.9654 | 2.9 | Yes |
| 2023-10-01 | 2.1066 | 3.1 | Yes |
| 2022-10-01 | 2.2692 | 3.5 | Yes |
| 2021-10-01 | 1.9757 | 3.1 | Yes |
| 2020-10-01 | 1.9746 | 3.1 | Yes |
| 2019-10-01 | 1.9692 | 3.2 | Yes |
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