DRG 469 Surgical
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with MCC or Total Ankle Replacement
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$19,716
National average
Avg Total Costs
$32,755
CMS Inpatient data
Avg Length of Stay
3.3 days
CMS MS-DRG
Est. Commercial Insurance
$29,574 — $49,290
1.5x — 2.5x Medicare
Annual Discharges
1,134
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
1,134
Total Discharges
$32,755
Avg Total Costs
$28,322
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for major hip and knee joint replacement or reattachment of lower extremity with mcc... cost?
The average Medicare payment for DRG 469 is $19,716. Average hospital costs are $32,755. Commercial insurance typically pays 150-250% of Medicare rates ($29,574 — $49,290).
How long is the hospital stay for DRG 469?
The average length of stay is 3.3 days. This varies by severity — patients with complications or comorbidities may stay longer.
How much does this hospital stay cost without insurance?
Without insurance, you may be billed the hospital's chargemaster rate, which can be 3-5x the actual cost. Request an itemized bill and ask about financial assistance programs. Many hospitals offer 40-60% discounts for self-pay patients.