Inpatient stays / DRG 466
MS-DRG 466 · 67 hospitals · 4,635 stays
DRG 466: Revision of Hip or Knee Replacement with MCC
Medicare patients had 4,635 stays in DRG 466 in 2024. Hospitals charged an average of $240,992 per stay and were paid $49,984 — a ratio of 4.8 to 1 — of which Medicare's own share averaged $44,693. Average charges ran from $86,159 at the least expensive hospital to $3,838,130 at the most; half of hospitals charged between $150,838 and $296,141.
- 1Average charge $240,992
- 2Average paid $49,984
- 3Reporting hospitals 67
- 4Medicare stays 4,635
By state
Average charges for DRG 466 were highest in Indiana ($781,068) and lowest in Maryland ($76,004). Payments vary far less than charges, because Medicare sets them: they range across states from $32,518 to $258,940.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Indiana | 114 | $781,068 | $258,940 | 3× |
| California | 370 | $380,427 | $59,484 | 6.4× |
| Texas | 324 | $336,132 | $39,425 | 8.5× |
| Nevada | 51 | $324,344 | $41,161 | 7.9× |
| Colorado | 114 | $294,805 | $40,882 | 7.2× |
| Florida | 417 | $278,191 | $36,507 | 7.6× |
| New Jersey | 121 | $270,682 | $47,490 | 5.7× |
| Arizona | 130 | $261,757 | $44,153 | 5.9× |
| New York | 233 | $254,776 | $58,003 | 4.4× |
| Kentucky | 72 | $233,473 | $40,731 | 5.7× |
| District of Columbia | 28 | $227,169 | $54,240 | 4.2× |
| Georgia | 116 | $226,215 | $40,637 | 5.6× |
| Pennsylvania | 220 | $224,248 | $43,090 | 5.2× |
| South Carolina | 64 | $221,657 | $45,561 | 4.9× |
| Alabama | 61 | $220,039 | $37,747 | 5.8× |
| Kansas | 55 | $208,267 | $36,614 | 5.7× |
| Idaho | 20 | $199,220 | $47,554 | 4.2× |
| New Mexico | 24 | $198,338 | $43,073 | 4.6× |
| Virginia | 121 | $194,772 | $40,222 | 4.8× |
| Tennessee | 108 | $188,885 | $36,662 | 5.2× |
| Washington | 106 | $188,609 | $45,173 | 4.2× |
| Maine | 14 | $185,398 | $53,113 | 3.5× |
| Illinois | 186 | $183,489 | $43,379 | 4.2× |
| Oregon | 75 | $180,449 | $55,534 | 3.2× |
| Oklahoma | 74 | $175,908 | $37,569 | 4.7× |
| Connecticut | 46 | $174,724 | $57,018 | 3.1× |
| Ohio | 168 | $173,545 | $43,769 | 4× |
| Louisiana | 42 | $173,224 | $32,518 | 5.3× |
| Minnesota | 103 | $170,055 | $52,504 | 3.2× |
| West Virginia | 32 | $167,848 | $43,154 | 3.9× |
| North Carolina | 125 | $167,394 | $41,650 | 4× |
| South Dakota | 22 | $164,848 | $42,346 | 3.9× |
| New Hampshire | 30 | $161,318 | $45,850 | 3.5× |
| Missouri | 102 | $154,226 | $39,303 | 3.9× |
| Nebraska | 71 | $143,724 | $38,834 | 3.7× |
| Michigan | 107 | $142,899 | $41,291 | 3.5× |
| Iowa | 39 | $142,517 | $35,905 | 4× |
| Wisconsin | 92 | $139,397 | $40,591 | 3.4× |
| Delaware | 15 | $139,216 | $48,914 | 2.8× |
| Montana | 33 | $135,848 | $41,144 | 3.3× |
| Mississippi | 39 | $132,813 | $34,678 | 3.8× |
| North Dakota | 19 | $130,576 | $41,669 | 3.1× |
| Utah | 52 | $128,202 | $40,678 | 3.2× |
| Massachusetts | 126 | $126,404 | $51,386 | 2.5× |
| Arkansas | 46 | $122,850 | $34,843 | 3.5× |
| Maryland | 70 | $76,004 | $68,780 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Ascension St Vincent Hospital Indianapolis, IN · 18 stays | $3,838,130 | $1,443,310 |
| Medical City Plano Plano, TX · 32 stays | $921,876 | $51,645 |
| Cedars-Sinai Medical Center Los Angeles, CA · 26 stays | $788,413 | $89,353 |
| John Muir Medical Center - Walnut Creek Campus Walnut Creek, CA · 13 stays | $541,748 | $64,999 |
| NYU Langone Hospitals New York, NY · 27 stays | $538,765 | $71,315 |
| HCA Healthone Sky Ridge Lone Tree, CO · 11 stays | $527,877 | $36,653 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 11 stays | $480,496 | $34,868 |
| Adventhealth Orlando Orlando, FL · 20 stays | $377,309 | $36,352 |
| UCSF Medical Center San Francisco, CA · 18 stays | $372,095 | $82,319 |
| Houston Methodist Hospital Houston, TX · 12 stays | $354,721 | $50,449 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Corewell Health Grand Rapids Hospitals Butterworth Grand Rapids, MI · 11 stays | $86,159 | $36,417 |
| Uams Medical Center Little Rock, AR · 11 stays | $101,739 | $40,242 |
| Beth Israel Deaconess Medical Center Boston, MA · 11 stays | $107,263 | $59,291 |
| University of Utah Hospital and Clinics Salt Lake City, UT · 14 stays | $108,268 | $45,673 |
| Albany Medical Center Hospital Albany, NY · 14 stays | $113,493 | $53,333 |
| Sibley Memorial Hospital Washington, DC · 11 stays | $121,084 | $38,924 |
| CHI Health St Elizabeth Lincoln, NE · 13 stays | $123,201 | $33,378 |
| Baylor University Medical Center Dallas, TX · 13 stays | $126,712 | $48,685 |
| Sanford Fargo, ND · 11 stays | $129,143 | $40,101 |
| Naples Community Hospital Naples, FL · 20 stays | $130,385 | $26,005 |
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.