Medicare Fee Schedule Lookup
Search 2026 Medicare reimbursement rates and national payment amounts by CPT, HCPCS, or MS-DRG code. The lookup includes the Physician Fee Schedule, Drug ASP, MS-DRG weights, anesthesia conversion factors, and Clinical Laboratory Fee Schedule data from CMS.
Filters
Select one or more years
Up to 5 codes · 4 remaining
Need commercial rates?
Compare Medicare against in-network rates from 180+ payers.
Run a free sample reportMAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT
| Code | Year | Weight | Description |
|---|---|---|---|
| 469 - MS-DRG | 2026 | 3.0332 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT |
Compare Medicare rates with published commercial rates for the same code
Search negotiated rates from more than 180 commercial payers by NPI, TIN, and ZIP code. Review historical rates or export the data through API, SQL, MCP, or bulk download.
Related codes
Methodology
Relative weights come from the IPPS Final Rule Table 5 published annually by CMS. Each MS-DRG weight reflects the average resources used to treat cases in that group, and is used with the hospital base rate to determine inpatient payment.
View CMS Acute Inpatient (IPPS) Files