MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
Medicare inpatient claims for MS-DRG 470. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.
What is MS-DRG 470?
MS-DRG 470 is the Medicare Severity Diagnosis-Related Group for MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC. When a Medicare patient is discharged, the hospital stay is grouped into a single MS-DRG, and Medicare reimburses the hospital a fixed, predetermined amount for that group rather than itemizing each service.
Across the CMS Medicare Inpatient Hospitals by Provider dataset, 1,439 hospitals reported 131,060 discharges for MS-DRG 470. The average hospital submitted charge was $91K, while the average amount Medicare actually paid was $14K — a 6.6× gap between list price and reimbursement, which is typical for Medicare inpatient claims.