MS-DRG 489
KNEE PROCEDURES WITHOUT PR
Relative Weight
1.1168
Geometric Mean LOS
1.2 Days
Arithmetic Mean LOS
1.4 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 231 | $55,539.81 | $11,496.04 | $8,651.63 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 11 | $9,011.73 | $6,055.45 |
| AR | 12 | $8,011.75 | $5,652.67 |
| CA | 31 | $20,227.03 | $14,594.15 |
| CO | 11 | $10,668.36 | $8,961.64 |
| IL | 37 | $12,135.85 | $10,215.73 |
| IN | 11 | $9,355.64 | $6,523.73 |
| NY | 25 | $16,277.96 | $10,668.00 |
| OH | 28 | $8,850.97 | $5,873.65 |
| OK | 11 | $8,009.73 | $6,377.73 |
| SC | 17 | $8,182.35 | $6,550.35 |
| SD | 13 | $8,556.15 | $6,924.15 |
| UT | 24 | $11,717.67 | $9,672.67 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.1168 | 1.2 | Yes |
| 2024-10-01 | 1.2384 | 1.4 | Yes |
| 2023-10-01 | 1.2377 | 1.5 | Yes |
| 2022-10-01 | 1.3295 | 1.7 | Yes |
| 2021-10-01 | 1.2982 | 1.7 | Yes |
| 2020-10-01 | 1.2982 | 1.7 | Yes |
| 2019-10-01 | 1.2590 | 1.8 | Yes |
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