MS‑DRG 480: Hip and Femur Procedures except Major Joint with MCC

What Medicare paid hospitals for MS‑DRG 480 in 2024: nationally, state by state and across hospitals.

Paid per case$23,1911.5× the all-DRG average

Discharges21,6070.44% of all Medicare discharges

Total paid$501.1M41st largest MS‑DRG by spending

Hospitals970in 50 states and DC

Charges ÷ paid6.1×$141,996 average charge

Relative weight2.9204FY2027, 6.0-day geometric mean stay; FY2026 2.9123 (+0.3%)

In 2024 Medicare paid hospitals an average of $23,191 per discharge for MS‑DRG 480, across 21,607 fee-for-service discharges at 970 hospitals: 0.44% of all Medicare inpatient discharges and $501.1M in total, the 41st largest MS‑DRG by Medicare spending.

By state, the average ran from $18,399 in Arkansas to $31,678 in Alaska. Across hospitals, half were paid between $18,958 and $25,049 per case, and the median hospital $21,132; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $141,996 on average for these stays, 6.1 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 480 on the interactive map Price an MS‑DRG 480 claim at any hospital Every MS‑DRG

What changed in FY2027

The rates for discharges from October 1, 2026 (MS‑DRG version 44) against FY2026.

MS‑DRG 480, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	2.9123	2.9204	+0.3%
Geometric mean stay (days)	6.1	6.0	−0.1
Average stay (days)	7.3	7.1	−0.2

Not capped: the +0.3% is CMS’s yearly recalibration of every weight from recent claims and cost data.
Renamed. FY2026: “Hip and Femur Procedures except Major Joint with MCC”. FY2027: “Hip and Femur Procedures except Major Joint with MCC or Insertion of Antibiotic-Eluting Bone Void Filler”. The 2024 payments on this page are for stays grouped under the earlier definition.

FY2027 national base payment (illustration)

$21,575.77

The FY2027 weight times the operating standardized amount and the capital rate ($6,848.00 + $539.95) at a wage index of 1.0. No IME, DSH, outlier or other hospital-specific adjustment, so it is not what any hospital is paid; price it at a hospital for that.

FY2027 national base payment across the severity levels of MS‑DRG 480
MS‑DRG	Severity	Payment ($)	Step ($)
480	with MCC	21,575.77	—
481	with CC	15,710.48	−5,865.29
482	without CC/MCC	12,114.02	−9,461.75

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 480 at a hospital

Paid per case, by state

MS‑DRG 480 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$39,293	367	19	1.2×
Alaska	$31,678	72	3	5.5×
District of Columbia	$30,601	74	3	6.7×
California	$30,387	1,713	88	7.6×
New York	$30,007	1,183	42	6.1×
Hawaii	$29,063	30	1	4.9×
Rhode Island	$28,897	40	1	3.0×
Minnesota	$28,878	355	15	4.2×
Wyoming	$27,852	30	2	4.2×
Massachusetts	$27,809	788	25	2.9×
Oregon	$27,580	249	14	3.8×
Connecticut	$27,361	320	14	3.9×
New Jersey	$24,679	669	31	7.1×
New Mexico	$24,414	163	6	4.7×
Washington	$23,810	590	26	5.4×
New Hampshire	$23,644	160	8	4.3×
Nevada	$23,605	212	9	7.6×
Delaware	$23,237	96	3	4.1×
South Dakota	$22,878	145	4	5.0×
Pennsylvania	$22,699	686	33	7.5×
Wisconsin	$22,675	256	11	5.2×
Georgia	$22,625	591	26	6.9×
Arizona	$22,265	517	28	6.8×
Michigan	$21,530	460	28	4.3×
North Dakota	$21,347	101	5	3.5×
Utah	$21,267	134	6	4.6×
Illinois	$21,226	950	45	5.7×
Colorado	$21,222	231	13	8.8×
Maine	$21,156	86	3	4.2×
North Carolina	$21,136	561	24	4.9×
Texas	$21,133	1,384	62	8.1×
Montana	$20,792	99	6	3.8×
Missouri	$20,589	437	22	5.2×
Indiana	$20,525	577	25	5.7×
Virginia	$20,480	686	26	5.8×
South Carolina	$20,456	437	18	7.1×
Kansas	$20,363	305	10	6.9×
Idaho	$20,324	114	5	4.7×
Florida	$20,103	1,936	84	9.5×
Nebraska	$20,034	206	9	4.7×
Ohio	$19,892	744	38	6.0×
Vermont	$19,684	20	1	4.9×
Oklahoma	$19,378	400	16	6.2×
West Virginia	$19,192	151	8	5.1×
Iowa	$19,103	327	13	4.5×
Kentucky	$18,881	300	15	6.0×
Tennessee	$18,674	585	25	6.0×
Louisiana	$18,567	259	12	6.6×
Mississippi	$18,455	292	12	4.6×
Alabama	$18,409	259	14	6.8×
Arkansas	$18,399	260	13	4.0×
United States	$23,191	21,607	970	6.1×

* Maryland hospitals are paid under the state’s all-payer model, not the IPPS, so Maryland is left out of the state range above.

How much hospitals vary

Each hospital’s own average Medicare payment for MS‑DRG 480.

10th percentile	$17,572
25th percentile	$18,958
Median hospital	$21,132
75th percentile	$25,049
90th percentile	$29,384

Related analysis

Transfers and the per-diem rule: when a short stay pays less than the full DRG · Inpatient DRG
DRG validation and the single-MCC claim: when one code moves the payment · Payment integrity

The same condition at other severities

481Hip and Femur Procedures except Major Joint with CC · $15,801
482Hip and Femur Procedures except Major Joint without CC/MCC · $11,718

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 480 in 2024?

An average of $23,191 per discharge across 21,607 fee-for-service discharges at 970 hospitals, $501.1M in total.

Which state paid the most for MS‑DRG 480?

Alaska, at $31,678 per case; Arkansas paid the least, $18,399.

Where do these figures come from?

From the Medicare Inpatient Hospitals - by Provider and Service (data year 2024): the published hospital-by-DRG averages of Medicare fee-for-service inpatient discharges in 2024. Cells with fewer than 11 discharges are not published, so a hospital with a handful of cases is not counted. Average Medicare payment excludes the patient’s deductible and coinsurance.