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Knee Procedures with Principal Diagnosis of Infection with complications
Medicare DRG 486. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$98,425
Avg total payment
$22,128
Avg Medicare pays
$17,141
Hospitals reporting
10
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 | 1 | $185,479 | $28,412 |
| New York | 1 | $154,840 | $19,951 |
| New Jersey | 1 | $115,172 | $17,732 |
| South Dakota | 1 | $97,094 | $15,002 |
| Minnesota | 2 | $81,774 | $16,901 |
| Florida | 1 | $75,979 | $15,146 |
| Illinois | 1 | $70,103 | $15,746 |
| Iowa | 1 | $68,748 | $13,141 |
| Ohio | 1 | $53,287 | $12,480 |
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.