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Knee Procedures without Principal Diagnosis of Infection without with Complications/with major complications
Medicare DRG 489. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$55,540
Avg total payment
$11,496
Avg Medicare pays
$8,652
Hospitals reporting
16
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 | 2 | $136,670 | $14,594 |
| South Carolina | 1 | $81,314 | $6,550 |
| New York | 1 | $75,294 | $10,668 |
| Ohio | 2 | $50,624 | $5,874 |
| Colorado | 1 | $49,090 | $8,962 |
| Illinois | 2 | $43,090 | $10,216 |
| South Dakota | 1 | $40,231 | $6,924 |
| Indiana | 1 | $38,357 | $6,524 |
| Oklahoma | 1 | $36,276 | $6,378 |
| Utah | 2 | $31,626 | $9,673 |
| Alabama | 1 | $22,284 | $6,055 |
| Arkansas | 1 | $21,769 | $5,653 |
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.