MS-DRG 477
BIOPSIES OF MUSCULOSKELETA
Relative Weight
3.4546
Geometric Mean LOS
8.6 Days
Arithmetic Mean LOS
10.6 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 319 | $208,131.13 | $38,229.81 | $28,643.71 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AZ | 13 | $39,480.31 | $30,495.54 |
| CA | 27 | $52,896.37 | $34,526.49 |
| CT | 11 | $42,840.45 | $35,926.36 |
| FL | 63 | $25,588.81 | $24,061.89 |
| IL | 11 | $43,520.00 | $26,924.36 |
| KS | 17 | $36,917.94 | $31,228.47 |
| MA | 15 | $43,399.93 | $37,538.07 |
| MN | 13 | $89,281.62 | $34,016.00 |
| MO | 21 | $39,072.38 | $30,830.43 |
| NC | 12 | $22,971.67 | $21,907.17 |
| NJ | 11 | $44,943.45 | $31,977.00 |
| NY | 44 | $45,339.48 | $38,651.23 |
| OK | 11 | $24,846.64 | $16,654.55 |
| PA | 17 | $29,588.94 | $26,742.71 |
| TX | 11 | $20,176.64 | $19,531.09 |
| VA | 22 | $26,273.91 | $19,602.55 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 3.4546 | 8.6 | Yes |
| 2024-10-01 | 3.4390 | 8.8 | Yes |
| 2023-10-01 | 3.3690 | 8.8 | Yes |
| 2022-10-01 | 3.4028 | 8.6 | Yes |
| 2021-10-01 | 3.3589 | 8.1 | Yes |
| 2020-10-01 | 3.3569 | 8.1 | Yes |
| 2019-10-01 | 3.2553 | 8.2 | Yes |
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