MS-DRG 515
OTHER MUSCULOSKELETAL SYST
Relative Weight
3.1869
Geometric Mean LOS
6.7 Days
Arithmetic Mean LOS
8.4 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 1,005 | $158,683.64 | $28,551.67 | $25,232.28 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| CA | 57 | $54,000.02 | $47,515.76 |
| CO | 17 | $22,037.94 | $20,789.94 |
| DE | 15 | $25,421.60 | $23,243.87 |
| FL | 160 | $24,260.63 | $21,287.57 |
| GA | 41 | $24,991.59 | $23,036.95 |
| IA | 11 | $19,878.73 | $17,655.91 |
| IL | 63 | $24,510.80 | $22,239.34 |
| IN | 39 | $22,307.13 | $20,991.40 |
| KS | 57 | $24,814.25 | $21,004.18 |
| KY | 23 | $21,998.33 | $20,203.13 |
| MA | 86 | $34,136.70 | $28,249.69 |
| MD | 11 | $71,178.64 | $69,843.36 |
| MI | 40 | $26,283.16 | $24,515.04 |
| MN | 31 | $35,444.83 | $29,433.08 |
| MS | 12 | $22,386.83 | $20,302.83 |
| NC | 22 | $22,036.23 | $20,416.82 |
| NE | 11 | $26,725.73 | $24,060.73 |
| NY | 37 | $43,792.29 | $37,904.52 |
| OH | 40 | $24,992.45 | $23,166.40 |
| OK | 36 | $23,398.45 | $19,905.53 |
| PA | 11 | $25,202.82 | $22,807.82 |
| SC | 17 | $21,281.12 | $19,990.65 |
| TN | 14 | $24,579.79 | $21,735.64 |
| TX | 83 | $22,161.91 | $20,302.06 |
| VA | 53 | $26,154.34 | $19,726.99 |
| WA | 18 | $35,604.28 | $32,214.61 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 3.1869 | 6.7 | Yes |
| 2024-10-01 | 3.0924 | 6.8 | Yes |
| 2023-10-01 | 3.1615 | 7.0 | Yes |
| 2022-10-01 | 3.1178 | 6.6 | Yes |
| 2021-10-01 | 3.1406 | 6.4 | Yes |
| 2020-10-01 | 3.1370 | 6.4 | Yes |
| 2019-10-01 | 3.1540 | 6.5 | Yes |
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