MS-DRG 493
LOWER EXTREMITY AND HUMERU
Relative Weight
2.5361
Geometric Mean LOS
4.2 Days
Arithmetic Mean LOS
5.1 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 10,223 | $122,870.25 | $22,515.61 | $18,597.83 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 34 | $30,804.23 | $25,797.46 |
| AL | 135 | $21,090.44 | $14,291.10 |
| AR | 103 | $17,450.92 | $14,347.80 |
| AZ | 237 | $20,616.68 | $18,232.65 |
| CA | 770 | $29,248.34 | $24,963.23 |
| CO | 108 | $20,888.11 | $16,831.01 |
| CT | 73 | $26,744.48 | $23,498.02 |
| DC | 45 | $30,632.96 | $23,665.35 |
| DE | 55 | $22,491.93 | $18,991.18 |
| FL | 1,008 | $19,481.26 | $16,765.60 |
| GA | 217 | $22,936.06 | $19,393.58 |
| HI | 13 | $32,893.31 | $19,655.77 |
| IA | 76 | $18,688.56 | $16,089.96 |
| ID | 56 | $18,715.94 | $16,535.23 |
| IL | 447 | $21,858.44 | $17,789.11 |
| IN | 216 | $18,811.08 | $15,975.96 |
| KS | 119 | $19,233.34 | $16,914.22 |
| KY | 136 | $20,730.38 | $15,592.73 |
| LA | 94 | $19,492.53 | $16,474.50 |
| MA | 302 | $27,146.81 | $23,501.03 |
| MD | 195 | $32,625.30 | $31,092.75 |
| ME | 35 | $21,388.99 | $16,104.18 |
| MI | 211 | $21,374.80 | $15,831.52 |
| MN | 302 | $21,347.17 | $17,552.82 |
| MO | 312 | $19,049.97 | $16,096.10 |
| MS | 72 | $18,154.21 | $16,003.95 |
| MT | 27 | $18,802.21 | $17,049.56 |
| NC | 284 | $22,375.34 | $17,092.12 |
| ND | 33 | $18,818.55 | $16,700.28 |
| NE | 122 | $19,655.32 | $16,757.01 |
| NH | 31 | $24,522.72 | $21,558.01 |
| NJ | 272 | $27,992.96 | $17,995.03 |
| NM | 46 | $24,836.34 | $19,614.06 |
| NV | 61 | $23,539.26 | $20,270.25 |
| NY | 458 | $28,692.84 | $23,068.69 |
| OH | 343 | $20,629.12 | $16,674.64 |
| OK | 121 | $21,313.66 | $17,489.69 |
| OR | 131 | $24,856.76 | $20,653.93 |
| PA | 541 | $21,575.54 | $18,336.62 |
| RI | 33 | $25,355.21 | $22,599.09 |
| SC | 261 | $19,727.10 | $16,296.93 |
| SD | 62 | $20,384.23 | $17,455.52 |
| TN | 295 | $19,614.28 | $16,143.59 |
| TX | 836 | $21,683.93 | $17,778.42 |
| UT | 100 | $20,270.29 | $17,393.53 |
| VA | 391 | $19,929.37 | $15,879.72 |
| WA | 133 | $22,764.14 | $19,301.43 |
| WI | 174 | $21,343.28 | $17,175.06 |
| WV | 85 | $18,667.93 | $14,949.11 |
| WY | 12 | $22,330.33 | $21,045.83 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.5361 | 4.2 | Yes |
| 2024-10-01 | 2.4010 | 4.2 | Yes |
| 2023-10-01 | 2.4017 | 4.2 | Yes |
| 2022-10-01 | 2.3758 | 4.0 | Yes |
| 2021-10-01 | 2.3258 | 4.0 | Yes |
| 2020-10-01 | 2.3252 | 4.0 | Yes |
| 2019-10-01 | 2.3020 | 4.0 | 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