MS-DRG 521
HIP REPLACEMENT WITH PRINC
Relative Weight
2.8702
Geometric Mean LOS
6.0 Days
Arithmetic Mean LOS
7.0 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 7,531 | $133,912.17 | $25,483.90 | $22,603.99 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 15 | $31,833.60 | $28,720.53 |
| AL | 95 | $27,360.91 | $17,883.55 |
| AR | 98 | $20,974.14 | $18,844.08 |
| AZ | 223 | $24,187.68 | $21,350.81 |
| CA | 533 | $33,345.51 | $30,748.88 |
| CO | 79 | $21,906.58 | $20,502.73 |
| CT | 108 | $29,275.38 | $25,707.94 |
| DE | 52 | $24,829.91 | $22,930.62 |
| FL | 644 | $21,549.96 | $19,671.96 |
| GA | 128 | $25,350.09 | $21,926.09 |
| HI | 14 | $33,767.86 | $26,060.86 |
| IA | 136 | $22,325.39 | $19,372.51 |
| ID | 41 | $22,158.13 | $20,558.39 |
| IL | 203 | $25,490.49 | $21,243.65 |
| IN | 149 | $23,624.99 | $21,594.68 |
| KS | 150 | $23,274.71 | $20,590.58 |
| KY | 129 | $21,938.16 | $19,297.90 |
| LA | 95 | $20,347.41 | $18,622.56 |
| MA | 377 | $29,414.32 | $26,374.46 |
| MD | 142 | $34,201.88 | $32,820.70 |
| ME | 19 | $24,928.00 | $22,126.89 |
| MI | 105 | $24,731.29 | $21,666.36 |
| MN | 150 | $25,246.53 | $22,718.88 |
| MO | 169 | $22,474.19 | $20,206.47 |
| MS | 173 | $19,825.71 | $17,991.42 |
| MT | 59 | $22,846.58 | $20,842.48 |
| NC | 222 | $26,069.26 | $21,697.75 |
| ND | 74 | $26,195.83 | $20,535.30 |
| NE | 50 | $19,484.29 | $18,054.38 |
| NH | 36 | $33,026.07 | $25,202.46 |
| NJ | 205 | $28,377.16 | $25,334.70 |
| NM | 43 | $25,170.23 | $23,349.59 |
| NV | 84 | $25,550.45 | $23,984.01 |
| NY | 495 | $34,260.56 | $29,884.51 |
| OH | 167 | $21,399.55 | $19,152.65 |
| OK | 141 | $20,404.88 | $18,747.16 |
| OR | 60 | $30,740.35 | $26,485.23 |
| PA | 203 | $24,163.58 | $21,849.82 |
| RI | 11 | $27,149.64 | $25,253.36 |
| SC | 155 | $22,502.81 | $20,363.67 |
| SD | 48 | $23,985.95 | $22,091.88 |
| TN | 306 | $20,628.15 | $17,728.46 |
| TX | 435 | $23,772.71 | $20,635.85 |
| UT | 24 | $24,958.17 | $20,840.63 |
| VA | 300 | $22,636.91 | $19,735.22 |
| VT | 12 | $17,543.42 | $14,443.75 |
| WA | 219 | $25,711.57 | $23,580.23 |
| WI | 94 | $27,124.30 | $23,122.90 |
| WV | 61 | $23,310.07 | $20,234.04 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.8702 | 6.0 | Yes |
| 2024-10-01 | 2.9147 | 6.2 | Yes |
| 2023-10-01 | 2.9942 | 6.4 | Yes |
| 2022-10-01 | 3.0192 | 6.2 | Yes |
| 2021-10-01 | 3.0662 | 6.2 | Yes |
| 2020-10-01 | 3.0634 | 6.2 | Yes |
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