MS-DRG 474
AMPUTATION FOR MUSCULOSKEL
Relative Weight
4.2929
Geometric Mean LOS
9.8 Days
Arithmetic Mean LOS
12.3 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 84 | $218,433.37 | $42,753.38 | $35,837.20 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| FL | 16 | $31,565.69 | $27,049.63 |
| MT | 13 | $27,415.77 | $26,376.85 |
| NC | 11 | $59,446.82 | $38,785.55 |
| NY | 19 | $79,984.63 | $67,572.53 |
| TN | 11 | $31,576.18 | $30,411.82 |
| TX | 14 | $26,531.21 | $24,826.79 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 4.2929 | 9.8 | Yes |
| 2024-10-01 | 4.4847 | 10.2 | Yes |
| 2023-10-01 | 4.3028 | 10.1 | Yes |
| 2022-10-01 | 4.0969 | 9.2 | Yes |
| 2021-10-01 | 4.0761 | 9.4 | Yes |
| 2020-10-01 | 4.0728 | 9.4 | Yes |
| 2019-10-01 | 3.8749 | 8.9 | Yes |
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