Inpatient stays / DRG 467
MS-DRG 467 · 561 hospitals · 19,510 stays
DRG 467: Revision of Hip or Knee Replacement with CC
Medicare patients had 19,510 stays in DRG 467 in 2024. Hospitals charged an average of $157,758 per stay and were paid $30,483 — a ratio of 5.2 to 1 — of which Medicare's own share averaged $26,142. Average charges ran from $29,446 at the least expensive hospital to $885,464 at the most; half of hospitals charged between $94,948 and $181,640.
- 1Average charge $157,758
- 2Average paid $30,483
- 3Reporting hospitals 561
- 4Medicare stays 19,510
By state
Average charges for DRG 467 were highest in Nevada ($267,368) and lowest in Maryland ($50,340). Payments vary far less than charges, because Medicare sets them: they range across states from $24,409 to $45,101.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 155 | $267,368 | $31,110 | 8.6× |
| Texas | 1,487 | $263,167 | $30,624 | 8.6× |
| Alaska | 69 | $242,808 | $38,552 | 6.3× |
| California | 1,470 | $239,470 | $39,790 | 6× |
| Colorado | 407 | $219,444 | $28,633 | 7.7× |
| Florida | 1,510 | $208,793 | $26,460 | 7.9× |
| Kentucky | 268 | $181,403 | $27,785 | 6.5× |
| Arizona | 448 | $176,447 | $29,248 | 6× |
| Georgia | 371 | $173,621 | $28,409 | 6.1× |
| Virginia | 546 | $168,936 | $27,321 | 6.2× |
| New Mexico | 62 | $162,008 | $28,984 | 5.6× |
| New York | 1,023 | $161,045 | $38,202 | 4.2× |
| Alabama | 298 | $153,831 | $25,466 | 6× |
| South Carolina | 303 | $153,441 | $28,095 | 5.5× |
| New Jersey | 421 | $152,840 | $31,066 | 4.9× |
| Pennsylvania | 956 | $145,316 | $30,181 | 4.8× |
| Tennessee | 489 | $144,489 | $25,947 | 5.6× |
| Louisiana | 221 | $143,641 | $26,880 | 5.3× |
| Illinois | 724 | $143,568 | $32,158 | 4.5× |
| Indiana | 452 | $140,917 | $26,900 | 5.2× |
| Kansas | 310 | $140,891 | $26,437 | 5.3× |
| Washington | 367 | $137,669 | $33,266 | 4.1× |
| Mississippi | 181 | $131,522 | $24,553 | 5.4× |
| District of Columbia | 69 | $131,209 | $32,554 | 4× |
| Maine | 66 | $126,380 | $34,649 | 3.6× |
| Oklahoma | 345 | $126,123 | $24,409 | 5.2× |
| West Virginia | 113 | $123,471 | $27,186 | 4.5× |
| North Carolina | 629 | $122,885 | $27,849 | 4.4× |
| Ohio | 813 | $122,073 | $27,659 | 4.4× |
| Vermont | 32 | $120,102 | $25,412 | 4.7× |
| Idaho | 109 | $117,649 | $27,348 | 4.3× |
| Hawaii | 40 | $116,396 | $39,277 | 3× |
| Missouri | 435 | $116,149 | $27,232 | 4.3× |
| New Hampshire | 138 | $112,397 | $33,729 | 3.3× |
| Nebraska | 219 | $107,998 | $26,442 | 4.1× |
| Wyoming | 43 | $107,947 | $39,474 | 2.7× |
| Utah | 227 | $106,050 | $28,854 | 3.7× |
| Connecticut | 202 | $104,904 | $34,918 | 3× |
| Montana | 84 | $104,653 | $27,080 | 3.9× |
| Michigan | 514 | $104,077 | $28,318 | 3.7× |
| Oregon | 189 | $103,845 | $33,865 | 3.1× |
| Wisconsin | 388 | $102,969 | $28,889 | 3.6× |
| Iowa | 213 | $102,925 | $25,971 | 4× |
| South Dakota | 170 | $97,214 | $25,802 | 3.8× |
| Delaware | 63 | $93,100 | $30,256 | 3.1× |
| Minnesota | 577 | $89,321 | $32,455 | 2.8× |
| Massachusetts | 535 | $88,108 | $32,763 | 2.7× |
| Arkansas | 251 | $85,988 | $24,845 | 3.5× |
| North Dakota | 112 | $84,002 | $26,607 | 3.2× |
| Rhode Island | 52 | $67,054 | $29,567 | 2.3× |
| Maryland | 344 | $50,340 | $45,101 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Medical City Plano Plano, TX · 109 stays | $885,464 | $48,145 |
| Cjw Medical Center Richmond, VA · 26 stays | $551,414 | $23,524 |
| Henrico Doctors' Hospital Richmond, VA · 18 stays | $490,623 | $25,341 |
| Medical City Dallas Dallas, TX · 36 stays | $471,443 | $32,010 |
| HCA Healthone Presbyterian St Lukes Denver, CO · 24 stays | $462,372 | $30,280 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 15 stays | $460,884 | $30,402 |
| Doctors Medical Center Modesto, CA · 11 stays | $451,884 | $42,481 |
| Las Palmas Medical Center A Campus of Lpds Healthc El Paso, TX · 21 stays | $448,925 | $28,601 |
| Cedars-Sinai Medical Center Los Angeles, CA · 70 stays | $444,126 | $41,016 |
| Round Rock Medical Center Round Rock, TX · 12 stays | $434,865 | $24,865 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Saint Agnes Hospital Baltimore, MD · 11 stays | $29,446 | $25,459 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 20 stays | $37,198 | $33,257 |
| Mercy Medical Center Inc Baltimore, MD · 30 stays | $37,692 | $32,974 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 20 stays | $39,261 | $35,810 |
| Suburban Hospital Bethesda, MD · 24 stays | $42,060 | $37,872 |
| University of MD St Joseph Medical Center Towson, MD · 31 stays | $43,548 | $38,529 |
| Beverly Hospital Corporation Beverly, MA · 23 stays | $44,267 | $27,338 |
| Kansas Surgery & Recovery Center Wichita, KS · 12 stays | $46,401 | $20,921 |
| Medstar Union Memorial Hospital Baltimore, MD · 30 stays | $48,157 | $42,631 |
| Mercy Hospital Fort Smith Fort Smith, AR · 11 stays | $51,173 | $23,270 |
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.