DRG 470 Surgical

Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC

Hospital inpatient stay cost data from CMS

Avg Medicare Payment
$12,538
National average
Avg Total Costs
$16,799
CMS Inpatient data
Avg Length of Stay
1.9 days
CMS MS-DRG
Est. Commercial Insurance
$18,807 — $31,345
1.5x — 2.5x Medicare
Annual Discharges
71,939
Medicare beneficiaries

CMS Inpatient National Data

From CMS Medicare Provider Utilization & Payment Data (FY 2023)

71,939
Total Discharges
$16,799
Avg Total Costs
$13,696
Avg Medicare Payment

Frequently Asked Questions

How much does a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without ... cost?

The average Medicare payment for DRG 470 is $12,538. Average hospital costs are $16,799. Commercial insurance typically pays 150-250% of Medicare rates ($18,807 — $31,345).

How long is the hospital stay for DRG 470?

The average length of stay is 1.9 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.

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