MS-DRG 481
HIP AND FEMUR PROCEDURES E
Relative Weight
2.0945
Geometric Mean LOS
4.3 Days
Arithmetic Mean LOS
4.8 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 62,753 | $98,667.28 | $18,266.68 | $15,738.11 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 183 | $26,745.65 | $24,402.75 |
| AL | 1,029 | $15,139.30 | $12,448.60 |
| AR | 825 | $14,728.88 | $12,789.37 |
| AZ | 1,359 | $18,057.57 | $15,841.29 |
| CA | 5,042 | $23,480.86 | $20,651.16 |
| CO | 775 | $17,061.73 | $14,902.01 |
| CT | 723 | $21,487.09 | $18,595.91 |
| DC | 117 | $23,124.13 | $18,355.13 |
| DE | 308 | $18,171.38 | $16,088.83 |
| FL | 5,404 | $16,434.29 | $14,050.20 |
| GA | 1,746 | $17,295.48 | $14,580.37 |
| HI | 182 | $24,241.94 | $20,787.84 |
| IA | 745 | $15,181.13 | $13,276.25 |
| ID | 268 | $16,790.83 | $14,988.89 |
| IL | 2,501 | $17,847.05 | $14,774.71 |
| IN | 1,357 | $16,435.13 | $13,991.92 |
| KS | 679 | $16,560.03 | $14,466.46 |
| KY | 855 | $15,385.89 | $13,269.91 |
| LA | 900 | $15,668.00 | $13,300.06 |
| MA | 1,896 | $19,719.52 | $17,462.43 |
| MD | 1,329 | $29,090.37 | $27,425.75 |
| ME | 252 | $17,930.27 | $15,834.09 |
| MI | 1,526 | $17,606.78 | $15,017.66 |
| MN | 1,024 | $18,389.85 | $15,635.44 |
| MO | 1,452 | $16,137.30 | $14,008.91 |
| MS | 846 | $14,929.09 | $12,879.89 |
| MT | 277 | $16,415.93 | $14,683.97 |
| NC | 2,045 | $16,709.31 | $14,333.70 |
| ND | 269 | $16,597.74 | $13,789.27 |
| NE | 541 | $16,868.24 | $14,643.69 |
| NH | 360 | $17,674.20 | $15,422.19 |
| NJ | 2,026 | $19,705.45 | $17,086.51 |
| NM | 327 | $19,067.26 | $16,383.53 |
| NV | 493 | $19,118.31 | $16,567.07 |
| NY | 3,458 | $22,837.35 | $19,618.65 |
| OH | 2,169 | $16,210.74 | $13,630.93 |
| OK | 1,039 | $15,238.53 | $13,495.32 |
| OR | 518 | $21,051.09 | $18,216.88 |
| PA | 2,576 | $17,092.12 | $14,430.57 |
| RI | 209 | $19,079.03 | $15,675.26 |
| SC | 1,389 | $16,162.78 | $13,508.35 |
| SD | 365 | $17,236.43 | $15,262.87 |
| TN | 1,560 | $15,675.72 | $13,095.56 |
| TX | 4,494 | $17,524.96 | $15,096.18 |
| UT | 383 | $16,793.58 | $14,173.35 |
| VA | 2,086 | $16,497.59 | $13,714.54 |
| VT | 148 | $13,911.70 | $10,840.64 |
| WA | 1,203 | $18,691.81 | $15,976.65 |
| WI | 944 | $16,647.18 | $14,358.20 |
| WV | 439 | $15,390.08 | $12,826.00 |
| WY | 112 | $23,287.57 | $21,620.16 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.0945 | 4.3 | Yes |
| 2024-10-01 | 2.0749 | 4.4 | Yes |
| 2023-10-01 | 2.0749 | 4.5 | Yes |
| 2022-10-01 | 2.1124 | 4.4 | Yes |
| 2021-10-01 | 2.0961 | 4.3 | Yes |
| 2020-10-01 | 2.0955 | 4.3 | Yes |
| 2019-10-01 | 2.0878 | 4.4 | Yes |
Automate Your DRG Pricing
Bedrock Billing offers the industry's fastest enterprise API for MS-DRG grouping, pricing, and claims analysis.
Try Bedrock Billing for Free