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Bilateral or Multiple major Joint Procedures of Lower Extremity without with major complications
Medicare DRG 462. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$113,621
Avg total payment
$27,998
Avg Medicare pays
$21,978
Hospitals reporting
25
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| California | 4 | $182,616 | $30,461 |
| North Carolina | 1 | $147,033 | $19,240 |
| New York | 4 | $138,466 | $23,050 |
| Florida | 1 | $120,908 | $18,089 |
| New Jersey | 1 | $110,339 | $22,873 |
| Indiana | 1 | $99,271 | $24,261 |
| Oregon | 1 | $97,652 | $22,184 |
| Pennsylvania | 4 | $94,722 | $18,116 |
| Tennessee | 2 | $90,835 | $19,627 |
| Hawaii | 1 | $90,083 | $21,394 |
| Texas | 2 | $83,572 | $16,659 |
| North Dakota | 1 | $64,039 | $19,035 |
| Kansas | 1 | $55,805 | $26,091 |
| Alabama | 1 | $43,360 | $17,198 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.