HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC
Medicare inpatient claims for MS-DRG 480. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.
What is MS-DRG 480?
MS-DRG 480 is the Medicare Severity Diagnosis-Related Group for HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH 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, 1,146 hospitals reported 43,792 discharges for MS-DRG 480. The average hospital submitted charge was $135K, while the average amount Medicare actually paid was $23K — a 6.0× gap between list price and reimbursement, which is typical for Medicare inpatient claims.