DRG 487 Surgical

Knee Procedures with Principal Diagnosis of Infection without CC/MCC

Hospital inpatient stay cost data from CMS

Avg Medicare Payment
$10,180
National average
Avg Total Costs
$21,321
CMS Inpatient data
Avg Length of Stay
3.5 days
CMS MS-DRG
Est. Commercial Insurance
$15,270 — $25,451
1.5x — 2.5x Medicare
Annual Discharges
11
Medicare beneficiaries

CMS Inpatient National Data

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

11
Total Discharges
$21,321
Avg Total Costs
$15,876
Avg Medicare Payment

Frequently Asked Questions

How much does a hospital stay for knee procedures with principal diagnosis of infection without cc/mcc cost?

The average Medicare payment for DRG 487 is $10,180. Average hospital costs are $21,321. Commercial insurance typically pays 150-250% of Medicare rates ($15,270 — $25,451).

How long is the hospital stay for DRG 487?

The average length of stay is 3.5 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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