MS-DRG 516
OTHER MUSCULOSKELETAL SYST
Relative Weight
2.0781
Geometric Mean LOS
4.0 Days
Arithmetic Mean LOS
5.1 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 6,436 | $103,541.42 | $19,149.95 | $15,690.56 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 29 | $20,135.05 | $16,350.47 |
| AL | 67 | $15,761.86 | $12,190.71 |
| AR | 52 | $15,400.94 | $12,909.02 |
| AZ | 65 | $24,047.31 | $16,432.69 |
| CA | 592 | $24,906.22 | $21,314.13 |
| CO | 107 | $19,825.96 | $15,086.94 |
| CT | 11 | $26,301.73 | $20,160.27 |
| DC | 14 | $28,634.07 | $17,189.86 |
| DE | 31 | $18,122.68 | $15,840.42 |
| FL | 808 | $16,542.26 | $13,923.27 |
| GA | 191 | $18,898.31 | $15,195.09 |
| IA | 24 | $14,051.96 | $12,393.13 |
| ID | 44 | $16,007.74 | $14,532.22 |
| IL | 437 | $19,008.88 | $14,381.97 |
| IN | 136 | $17,260.86 | $14,374.17 |
| KS | 180 | $16,009.96 | $13,303.97 |
| KY | 70 | $13,963.59 | $12,370.47 |
| LA | 30 | $14,848.24 | $11,352.74 |
| MA | 230 | $22,507.33 | $18,452.67 |
| MD | 61 | $25,804.49 | $24,424.71 |
| MI | 218 | $17,373.60 | $14,567.61 |
| MN | 197 | $19,119.82 | $16,604.79 |
| MO | 121 | $16,919.97 | $13,718.25 |
| MS | 49 | $15,961.81 | $14,063.48 |
| NC | 224 | $17,433.44 | $14,486.11 |
| ND | 28 | $15,631.14 | $13,335.11 |
| NE | 89 | $16,841.48 | $14,493.27 |
| NH | 22 | $22,749.77 | $20,071.41 |
| NJ | 72 | $22,005.01 | $16,130.63 |
| NV | 18 | $20,994.56 | $15,819.22 |
| NY | 274 | $24,253.14 | $19,524.97 |
| OH | 331 | $17,941.25 | $14,502.68 |
| OK | 175 | $16,314.96 | $14,173.85 |
| OR | 40 | $20,322.95 | $16,154.20 |
| PA | 229 | $20,395.74 | $16,068.13 |
| RI | 12 | $23,143.42 | $17,455.58 |
| SC | 60 | $18,912.57 | $13,474.41 |
| SD | 47 | $17,605.52 | $15,609.68 |
| TN | 113 | $17,231.44 | $13,725.87 |
| TX | 478 | $16,866.05 | $14,003.67 |
| UT | 32 | $19,521.26 | $15,754.35 |
| VA | 262 | $17,287.70 | $14,356.86 |
| WA | 83 | $20,597.33 | $16,852.03 |
| WI | 61 | $19,556.53 | $14,819.57 |
| WV | 22 | $17,867.14 | $14,782.95 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.0781 | 4.0 | Yes |
| 2024-10-01 | 2.0117 | 3.9 | Yes |
| 2023-10-01 | 2.0408 | 3.9 | Yes |
| 2022-10-01 | 2.0338 | 3.8 | Yes |
| 2021-10-01 | 1.9628 | 3.7 | Yes |
| 2020-10-01 | 1.9611 | 3.7 | Yes |
| 2019-10-01 | 1.9391 | 3.7 | Yes |
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