Inpatient stays / DRG 470
MS-DRG 470 · 1,212 hospitals · 64,419 stays
DRG 470: Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC
Medicare patients had 64,419 stays in DRG 470 in 2024. Hospitals charged an average of $93,184 per stay and were paid $17,364 — a ratio of 5.4 to 1 — of which Medicare's own share averaged $14,322. Average charges ran from $19,194 at the least expensive hospital to $383,606 at the most; half of hospitals charged between $56,054 and $116,048.
- 1Average charge $93,184
- 2Average paid $17,364
- 3Reporting hospitals 1,212
- 4Medicare stays 64,419
By state
Average charges for DRG 470 were highest in Nevada ($183,374) and lowest in Maryland ($28,915). Payments vary far less than charges, because Medicare sets them: they range across states from $11,828 to $26,000.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 336 | $183,374 | $18,747 | 9.8× |
| New Mexico | 268 | $151,992 | $18,257 | 8.3× |
| Colorado | 654 | $142,147 | $16,315 | 8.7× |
| Florida | 3,907 | $141,193 | $15,521 | 9.1× |
| California | 7,362 | $137,972 | $21,800 | 6.3× |
| Alaska | 265 | $128,399 | $22,541 | 5.7× |
| Texas | 4,151 | $116,220 | $15,157 | 7.7× |
| Arizona | 1,419 | $111,535 | $15,451 | 7.2× |
| Virginia | 1,273 | $107,897 | $15,677 | 6.9× |
| New York | 6,790 | $107,202 | $23,235 | 4.6× |
| Alabama | 1,161 | $101,964 | $14,592 | 7× |
| District of Columbia | 136 | $99,538 | $19,571 | 5.1× |
| Georgia | 762 | $96,997 | $16,459 | 5.9× |
| Mississippi | 661 | $95,525 | $13,562 | 7× |
| South Carolina | 655 | $95,420 | $14,497 | 6.6× |
| Kentucky | 570 | $95,202 | $14,082 | 6.8× |
| New Jersey | 1,273 | $92,200 | $17,543 | 5.3× |
| Washington | 929 | $91,985 | $17,646 | 5.2× |
| Louisiana | 487 | $91,575 | $13,850 | 6.6× |
| Indiana | 1,533 | $87,743 | $14,506 | 6× |
| Tennessee | 1,346 | $82,835 | $14,500 | 5.7× |
| Idaho | 192 | $80,720 | $15,495 | 5.2× |
| Illinois | 2,535 | $79,993 | $16,670 | 4.8× |
| Pennsylvania | 3,741 | $77,050 | $15,450 | 5× |
| Maine | 115 | $75,890 | $17,024 | 4.5× |
| Oklahoma | 1,102 | $74,633 | $14,220 | 5.2× |
| New Hampshire | 294 | $71,945 | $16,156 | 4.5× |
| Ohio | 1,989 | $71,769 | $14,325 | 5× |
| North Carolina | 2,283 | $70,932 | $15,577 | 4.6× |
| Wyoming | 144 | $69,402 | $22,120 | 3.1× |
| Utah | 566 | $69,156 | $16,850 | 4.1× |
| Wisconsin | 899 | $68,121 | $14,934 | 4.6× |
| Missouri | 1,099 | $67,554 | $14,515 | 4.7× |
| West Virginia | 455 | $67,328 | $15,440 | 4.4× |
| Hawaii | 151 | $67,006 | $21,280 | 3.1× |
| Oregon | 442 | $65,814 | $18,977 | 3.5× |
| Nebraska | 359 | $64,481 | $14,807 | 4.4× |
| Connecticut | 709 | $63,940 | $19,368 | 3.3× |
| Michigan | 1,275 | $63,082 | $16,226 | 3.9× |
| Delaware | 107 | $62,277 | $16,661 | 3.7× |
| Arkansas | 379 | $59,680 | $13,216 | 4.5× |
| Kansas | 1,956 | $58,902 | $14,067 | 4.2× |
| Iowa | 661 | $57,857 | $13,856 | 4.2× |
| Montana | 247 | $57,762 | $14,352 | 4× |
| North Dakota | 85 | $56,926 | $15,497 | 3.7× |
| Minnesota | 955 | $54,731 | $16,579 | 3.3× |
| South Dakota | 700 | $52,397 | $13,781 | 3.8× |
| Vermont | 67 | $51,110 | $11,828 | 4.3× |
| Massachusetts | 3,733 | $43,575 | $17,875 | 2.4× |
| Rhode Island | 254 | $34,801 | $16,780 | 2.1× |
| Maryland | 987 | $28,915 | $26,000 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Regional Medical Center of San Jose San Jose, CA · 14 stays | $383,606 | $25,484 |
| Round Rock Medical Center Round Rock, TX · 14 stays | $344,847 | $14,416 |
| Medical City Plano Plano, TX · 67 stays | $341,612 | $16,916 |
| Good Samaritan Hospital San Jose, CA · 52 stays | $327,882 | $20,833 |
| Medical City Mckinney Mckinney, TX · 78 stays | $314,538 | $16,842 |
| Cjw Medical Center Richmond, VA · 108 stays | $312,023 | $13,531 |
| St Joseph's Hospital Tucson, AZ · 34 stays | $308,825 | $14,912 |
| Emanuel Medical Center Turlock, CA · 19 stays | $308,507 | $19,438 |
| Henrico Doctors' Hospital Richmond, VA · 39 stays | $308,171 | $13,850 |
| Medical City Fort Worth Fort Worth, TX · 31 stays | $297,192 | $18,832 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| West Calcasieu Cameron Hospital Sulphur, LA · 12 stays | $19,194 | $13,415 |
| University of MD St Joseph Medical Center Towson, MD · 113 stays | $20,699 | $18,420 |
| Cambridge Health Alliance Cambridge, MA · 21 stays | $20,965 | $27,365 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 140 stays | $21,430 | $19,777 |
| Beverly Hospital Corporation Beverly, MA · 195 stays | $22,194 | $16,152 |
| Suburban Hospital Bethesda, MD · 65 stays | $22,938 | $20,521 |
| Medstar Montgomery Medical Center Olney, MD · 17 stays | $23,239 | $20,602 |
| Anna Jaques Hospital Newburyport, MA · 80 stays | $24,248 | $15,691 |
| Medstar Franklin Square Medical Center Rosedale, MD · 17 stays | $24,688 | $22,544 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 32 stays | $25,515 | $23,353 |
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.