MS-DRG 492
LOWER EXTREMITY AND HUMERU
Relative Weight
3.6716
Geometric Mean LOS
6.6 Days
Arithmetic Mean LOS
8.4 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 1,225 | $170,896.71 | $34,099.22 | $28,888.60 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 13 | $34,676.69 | $32,330.23 |
| AZ | 26 | $29,914.52 | $26,429.32 |
| CA | 88 | $47,763.76 | $41,673.45 |
| CO | 13 | $32,432.85 | $30,858.38 |
| DE | 29 | $39,040.10 | $28,143.34 |
| FL | 136 | $27,572.02 | $24,118.06 |
| GA | 16 | $31,585.50 | $28,479.88 |
| IA | 23 | $30,790.20 | $23,178.63 |
| IL | 12 | $44,148.50 | $34,498.42 |
| IN | 57 | $28,312.25 | $25,429.72 |
| KS | 36 | $24,148.80 | $22,498.98 |
| KY | 45 | $33,969.22 | $24,235.56 |
| MA | 74 | $41,846.77 | $36,824.48 |
| MD | 29 | $49,029.74 | $47,234.12 |
| MN | 35 | $36,150.92 | $28,145.97 |
| MO | 54 | $30,712.25 | $27,156.89 |
| MT | 11 | $26,152.18 | $24,455.27 |
| NC | 46 | $31,986.85 | $23,527.63 |
| NH | 11 | $26,088.09 | $24,976.09 |
| NJ | 13 | $33,291.00 | $29,898.15 |
| NV | 29 | $34,409.47 | $29,620.52 |
| NY | 56 | $45,229.68 | $35,370.08 |
| OH | 42 | $30,277.52 | $25,806.81 |
| OK | 28 | $24,497.04 | $22,696.53 |
| PA | 16 | $33,718.94 | $26,179.38 |
| RI | 12 | $44,276.42 | $31,803.75 |
| SC | 24 | $27,493.41 | $25,408.79 |
| TN | 26 | $35,083.58 | $25,834.26 |
| TX | 102 | $32,279.71 | $27,401.79 |
| UT | 25 | $32,817.18 | $29,542.64 |
| VA | 37 | $29,597.54 | $23,412.01 |
| WA | 20 | $30,135.30 | $27,181.60 |
| WI | 41 | $33,735.80 | $28,569.38 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 3.6716 | 6.6 | Yes |
| 2024-10-01 | 3.5512 | 6.6 | Yes |
| 2023-10-01 | 3.4621 | 6.7 | Yes |
| 2022-10-01 | 3.4859 | 6.3 | Yes |
| 2021-10-01 | 3.4700 | 6.2 | Yes |
| 2020-10-01 | 3.4682 | 6.2 | Yes |
| 2019-10-01 | 3.4453 | 6.2 | Yes |
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