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Revision of Hip or Knee Replacement with major complications
Medicare DRG 466. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$302,634
Avg total payment
$69,937
Avg Medicare pays
$63,062
Hospitals reporting
67
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 |
|---|---|---|---|
| Indiana | 3 | $1,449,553 | $504,626 |
| Colorado | 1 | $527,877 | $34,806 |
| California | 4 | $505,787 | $64,549 |
| Texas | 4 | $421,022 | $37,128 |
| Nevada | 2 | $377,608 | $34,362 |
| New York | 5 | $305,027 | $52,384 |
| Kentucky | 1 | $296,808 | $53,271 |
| Georgia | 1 | $252,966 | $35,952 |
| Pennsylvania | 4 | $251,743 | $38,533 |
| Tennessee | 2 | $246,850 | $35,583 |
| New Jersey | 3 | $240,596 | $44,138 |
| Alabama | 1 | $234,931 | $41,550 |
| Florida | 8 | $226,805 | $34,184 |
| Arizona | 2 | $225,139 | $37,427 |
| Ohio | 2 | $201,826 | $35,598 |
| Connecticut | 1 | $196,636 | $56,809 |
| West Virginia | 1 | $194,192 | $36,435 |
| Oregon | 3 | $179,672 | $56,611 |
| South Carolina | 1 | $179,588 | $29,464 |
| North Carolina | 1 | $178,858 | $34,660 |
| Massachusetts | 3 | $178,471 | $53,121 |
| Nebraska | 3 | $163,826 | $36,599 |
| Minnesota | 1 | $160,120 | $52,532 |
| Delaware | 1 | $150,838 | $39,590 |
| Oklahoma | 1 | $145,199 | $27,385 |
| Wisconsin | 1 | $144,434 | $33,987 |
| Montana | 1 | $143,203 | $41,753 |
| New Hampshire | 1 | $131,435 | $52,236 |
| North Dakota | 1 | $129,143 | $38,085 |
| District of Columbia | 1 | $121,084 | $38,078 |
| Utah | 1 | $108,268 | $41,441 |
| Arkansas | 1 | $101,739 | $35,869 |
| Michigan | 1 | $86,159 | $33,780 |
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.