MS-DRG 475
AMPUTATION FOR MUSCULOSKEL
Relative Weight
2.2757
Geometric Mean LOS
5.9 Days
Arithmetic Mean LOS
7.3 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 126 | $151,586.11 | $27,704.08 | $18,252.23 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 11 | $21,185.55 | $13,663.27 |
| AZ | 13 | $28,964.46 | $14,352.92 |
| CA | 24 | $31,343.43 | $25,826.72 |
| IA | 13 | $20,902.85 | $17,194.38 |
| MA | 14 | $26,730.64 | $21,011.21 |
| MN | 17 | $45,934.76 | $19,483.82 |
| NY | 11 | $27,383.18 | $22,435.91 |
| OH | 11 | $23,340.91 | $12,362.45 |
| PA | 12 | $19,911.58 | $10,364.92 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.2757 | 5.9 | Yes |
| 2024-10-01 | 2.1573 | 5.7 | Yes |
| 2023-10-01 | 2.1447 | 5.9 | Yes |
| 2022-10-01 | 2.2212 | 5.8 | Yes |
| 2021-10-01 | 2.1963 | 5.8 | Yes |
| 2020-10-01 | 2.1936 | 5.8 | Yes |
| 2019-10-01 | 2.1010 | 5.6 | Yes |
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