Inpatient stays / DRG 462
MS-DRG 462 · 25 hospitals · 1,467 stays
DRG 462: Bilateral or Multiple Major Joint Procedures of Lower Extremity without MCC
Medicare patients had 1,467 stays in DRG 462 in 2024. Hospitals charged an average of $138,303 per stay and were paid $29,222 — a ratio of 4.7 to 1 — of which Medicare's own share averaged $21,951. Average charges ran from $43,360 at the least expensive hospital to $220,039 at the most; half of hospitals charged between $77,859 and $128,647.
- 1Average charge $138,303
- 2Average paid $29,222
- 3Reporting hospitals 25
- 4Medicare stays 1,467
By state
Average charges for DRG 462 were highest in California ($210,134) and lowest in Maryland ($44,011). Payments vary far less than charges, because Medicare sets them: they range across states from $21,021 to $57,476.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 210 | $210,134 | $35,263 | 6× |
| Florida | 94 | $181,144 | $27,532 | 6.6× |
| Virginia | 12 | $178,793 | $30,226 | 5.9× |
| Illinois | 17 | $174,578 | $57,476 | 3× |
| Arizona | 18 | $167,691 | $23,280 | 7.2× |
| Louisiana | 11 | $157,210 | $21,021 | 7.5× |
| New York | 160 | $151,847 | $38,692 | 3.9× |
| North Carolina | 41 | $144,332 | $27,708 | 5.2× |
| Texas | 122 | $140,140 | $25,273 | 5.5× |
| Colorado | 26 | $136,189 | $24,553 | 5.5× |
| Ohio | 27 | $125,286 | $22,676 | 5.5× |
| Indiana | 59 | $120,383 | $24,343 | 4.9× |
| Iowa | 13 | $119,587 | $21,082 | 5.7× |
| Tennessee | 67 | $117,607 | $22,546 | 5.2× |
| Washington | 19 | $114,115 | $30,629 | 3.7× |
| New Jersey | 44 | $111,590 | $30,359 | 3.7× |
| Oregon | 30 | $108,674 | $27,736 | 3.9× |
| Alabama | 20 | $107,544 | $23,440 | 4.6× |
| Wisconsin | 21 | $101,489 | $24,414 | 4.2× |
| Pennsylvania | 179 | $95,218 | $24,255 | 3.9× |
| Hawaii | 30 | $92,913 | $34,809 | 2.7× |
| Utah | 13 | $89,085 | $23,115 | 3.9× |
| Kansas | 42 | $88,760 | $25,456 | 3.5× |
| Minnesota | 15 | $86,873 | $25,613 | 3.4× |
| Massachusetts | 19 | $73,720 | $24,253 | 3× |
| North Dakota | 14 | $63,848 | $23,332 | 2.7× |
| Maryland | 31 | $44,011 | $39,590 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| UCSF Medical Center San Francisco, CA · 11 stays | $220,039 | $47,198 |
| Glendale Adventist Medical Center Glendale, CA · 35 stays | $192,523 | $30,873 |
| Scripps Green Hospital La Jolla, CA · 71 stays | $191,396 | $32,338 |
| Hospital for Special Surgery New York, NY · 46 stays | $189,583 | $45,773 |
| Memorial Mission Hospital and Asheville Surgery Ce Asheville, NC · 15 stays | $147,033 | $24,818 |
| Montefiore New Rochelle Hospital New Rochelle, NY · 31 stays | $130,787 | $39,180 |
| Hoag Orthopedic Institute Irvine, CA · 14 stays | $126,507 | $27,756 |
| Ascension Saint Thomas Hospital Nashville, TN · 26 stays | $122,360 | $21,026 |
| St Francis Hospital, Roslyn Roslyn, NY · 17 stays | $122,310 | $32,650 |
| Naples Community Hospital Naples, FL · 21 stays | $120,908 | $21,799 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| East Alabama Medical Center Opelika, AL · 12 stays | $43,360 | $21,512 |
| Pratt Regional Medical Center Pratt, KS · 19 stays | $55,805 | $29,671 |
| Erlanger Health System Chattanooga, TN · 18 stays | $59,311 | $23,657 |
| North Central Surgical Center Llp Dallas, TX · 15 stays | $63,472 | $21,277 |
| Sanford Fargo, ND · 12 stays | $64,038 | $23,626 |
| Jefferson Health-Northeast Philadelphia, PA · 62 stays | $65,635 | $24,746 |
| Straub Clinic and Hospital Honolulu, HI · 17 stays | $90,083 | $35,644 |
| Sacred Heart Medical Center Riverbend Springfield, OR · 16 stays | $97,652 | $23,823 |
| Henry County Memorial Hospital New Castle, IN · 33 stays | $99,271 | $25,893 |
| Physician's Care Surgical Hospital Royersford, PA · 12 stays | $100,003 | $19,666 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.