DRG 489 Surgical

Knee Procedures without Principal Diagnosis of Infection without CC/MCC

Hospital inpatient stay cost data from CMS

Avg Medicare Payment
$7,259
National average
Avg Total Costs
$11,437
CMS Inpatient data
Avg Length of Stay
1.2 days
CMS MS-DRG
Est. Commercial Insurance
$10,889 — $18,148
1.5x — 2.5x Medicare
Annual Discharges
146
Medicare beneficiaries

CMS Inpatient National Data

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

146
Total Discharges
$11,437
Avg Total Costs
$8,855
Avg Medicare Payment

Frequently Asked Questions

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

The average Medicare payment for DRG 489 is $7,259. Average hospital costs are $11,437. Commercial insurance typically pays 150-250% of Medicare rates ($10,889 — $18,148).

How long is the hospital stay for DRG 489?

The average length of stay is 1.2 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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