MS-DRG 478
BIOPSIES OF MUSCULOSKELETA
Relative Weight
2.4592
Geometric Mean LOS
5.4 Days
Arithmetic Mean LOS
6.7 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 1,480 | $131,172.83 | $23,184.27 | $18,886.27 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 14 | $23,886.14 | $17,103.14 |
| AZ | 14 | $18,373.00 | $17,073.79 |
| CA | 204 | $28,522.35 | $24,764.69 |
| CO | 26 | $24,446.35 | $18,479.57 |
| CT | 15 | $36,623.87 | $25,496.07 |
| DC | 11 | $33,246.91 | $18,563.27 |
| DE | 21 | $22,896.43 | $18,305.29 |
| FL | 279 | $19,095.06 | $16,269.48 |
| GA | 54 | $21,368.46 | $16,996.19 |
| IL | 64 | $22,161.33 | $17,953.94 |
| KS | 15 | $22,809.73 | $19,031.87 |
| KY | 47 | $17,541.30 | $14,617.70 |
| LA | 35 | $17,962.33 | $15,313.92 |
| MA | 51 | $26,838.38 | $21,703.21 |
| MI | 42 | $23,049.77 | $18,223.13 |
| MN | 16 | $27,133.63 | $24,001.06 |
| MO | 52 | $21,239.80 | $17,504.42 |
| MS | 11 | $23,917.64 | $20,590.27 |
| NC | 13 | $22,046.92 | $17,524.00 |
| NE | 11 | $23,357.09 | $16,814.00 |
| NJ | 75 | $26,696.95 | $19,695.05 |
| NY | 89 | $28,706.29 | $24,765.96 |
| OH | 52 | $18,215.63 | $15,196.31 |
| PA | 42 | $20,645.29 | $17,330.37 |
| SC | 17 | $26,394.53 | $19,110.65 |
| TN | 24 | $22,784.25 | $18,177.92 |
| TX | 116 | $20,561.50 | $15,974.63 |
| VA | 59 | $24,141.14 | $18,168.84 |
| WA | 11 | $20,024.45 | $18,766.64 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.4592 | 5.4 | Yes |
| 2024-10-01 | 2.3386 | 5.2 | Yes |
| 2023-10-01 | 2.3837 | 5.4 | Yes |
| 2022-10-01 | 2.3489 | 5.2 | Yes |
| 2021-10-01 | 2.3584 | 5.2 | Yes |
| 2020-10-01 | 2.3569 | 5.2 | Yes |
| 2019-10-01 | 2.3171 | 5.3 | Yes |
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