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Knee Procedures without Principal Diagnosis of Infection with major complications
Medicare DRG 488. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$84,792
Avg total payment
$19,599
Avg Medicare pays
$16,220
Hospitals reporting
11
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 | $253,506 | $21,281 |
| Pennsylvania | 1 | $178,684 | $16,456 |
| New York | 1 | $94,001 | $19,240 |
| Tennessee | 1 | $83,073 | $15,186 |
| Iowa | 1 | $76,231 | $13,668 |
| Illinois | 1 | $62,628 | $21,989 |
| Minnesota | 1 | $56,452 | $18,690 |
| South Dakota | 1 | $40,820 | $12,554 |
| Massachusetts | 1 | $38,515 | $14,399 |
| Utah | 1 | $31,491 | $12,337 |
| Maryland | 1 | $17,314 | $12,618 |
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.