MS‑DRG 483: Major Joint or Limb Reattachment Procedures of Upper Extremities
What Medicare paid hospitals for MS‑DRG 483 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $19,439 per discharge for MS‑DRG 483, across 8,966 fee-for-service discharges at 389 hospitals: 0.18% of all Medicare inpatient discharges and $174.3M in total, the 95th largest MS‑DRG by Medicare spending.
By state, the average ran from $14,021 in Alabama to $30,068 in Wyoming. Across hospitals, half were paid between $15,819 and $20,973 per case, and the median hospital $17,959; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $124,843 on average for these stays, 6.4 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.
What changed in FY2027
The rates for discharges from October 1, 2026 (MS‑DRG version 44) against FY2026.
| FY2026 | FY2027 | Change | |
|---|---|---|---|
| Relative weight | 2.7719 | 2.8966 | +4.5% |
| Geometric mean stay (days) | 2.0 | 2.1 | +0.1 |
| Average stay (days) | 2.8 | 2.9 | +0.1 |
- Not capped: the +4.5% is CMS’s yearly recalibration of every weight from recent claims and cost data.
- Name, MDC and transfer status are unchanged.
FY2027 national base payment (illustration)
$21,399.94
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 inpatient rates: what else changed on October 1 · Price MS‑DRG 483 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Wyoming | $30,068 | 27 | 1 | 2.8× |
| Maryland* | $27,940 | 215 | 6 | 1.2× |
| California | $27,013 | 791 | 28 | 6.9× |
| New York | $25,951 | 589 | 18 | 5.2× |
| Alaska | $25,539 | 44 | 2 | 7.2× |
| Connecticut | $22,496 | 95 | 5 | 3.7× |
| Delaware | $22,469 | 26 | 1 | 4.4× |
| New Jersey | $21,987 | 77 | 5 | 7.6× |
| Massachusetts | $21,440 | 390 | 14 | 3.2× |
| New Hampshire | $20,765 | 47 | 3 | 3.7× |
| Utah | $20,738 | 87 | 2 | 2.9× |
| Oregon | $20,639 | 64 | 4 | 5.5× |
| Washington | $20,205 | 177 | 10 | 4.7× |
| Rhode Island | $19,873 | 30 | 2 | 2.7× |
| Arizona | $19,850 | 159 | 10 | 6.6× |
| Georgia | $19,621 | 116 | 7 | 5.5× |
| Nevada | $19,488 | 81 | 6 | 10.6× |
| Maine | $19,460 | 46 | 3 | 4.6× |
| Minnesota | $19,457 | 181 | 8 | 4.0× |
| Colorado | $19,210 | 197 | 8 | 12.2× |
| Illinois | $18,462 | 336 | 16 | 6.3× |
| North Dakota | $18,166 | 18 | 1 | 4.3× |
| Michigan | $18,119 | 224 | 13 | 4.4× |
| North Carolina | $18,021 | 325 | 19 | 5.5× |
| Virginia | $17,779 | 201 | 11 | 9.6× |
| Pennsylvania | $17,710 | 295 | 14 | 5.9× |
| Idaho | $17,647 | 11 | 1 | 7.1× |
| Montana | $17,245 | 58 | 4 | 4.5× |
| Florida | $17,221 | 836 | 32 | 10.8× |
| Oklahoma | $16,894 | 145 | 6 | 4.8× |
| South Carolina | $16,855 | 176 | 7 | 8.1× |
| Missouri | $16,713 | 233 | 11 | 5.0× |
| Arkansas | $16,712 | 65 | 4 | 6.0× |
| Mississippi | $16,693 | 47 | 4 | 7.7× |
| Indiana | $16,652 | 194 | 10 | 6.2× |
| Ohio | $16,650 | 387 | 12 | 5.5× |
| Iowa | $16,641 | 107 | 5 | 5.3× |
| Texas | $16,524 | 625 | 23 | 11.2× |
| Tennessee | $16,194 | 239 | 9 | 5.5× |
| Kentucky | $16,161 | 152 | 7 | 8.5× |
| Wisconsin | $16,125 | 162 | 8 | 6.0× |
| Kansas | $16,011 | 242 | 9 | 3.7× |
| South Dakota | $15,776 | 174 | 4 | 3.5× |
| West Virginia | $15,583 | 13 | 1 | 5.3× |
| Nebraska | $15,565 | 89 | 5 | 4.1× |
| Louisiana | $15,127 | 61 | 4 | 9.1× |
| Alabama | $14,021 | 112 | 6 | 9.0× |
| United States | $19,439 | 8,966 | 389 | 6.4× |
* 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 483.
| 10th percentile | $14,697 |
|---|---|
| 25th percentile | $15,819 |
| Median hospital | $17,959 |
| 75th percentile | $20,973 |
| 90th percentile | $24,478 |
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Questions
What did Medicare pay for MS‑DRG 483 in 2024?
An average of $19,439 per discharge across 8,966 fee-for-service discharges at 389 hospitals, $174.3M in total.
Which state paid the most for MS‑DRG 483?
Wyoming, at $30,068 per case; Alabama paid the least, $14,021.
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.