MS-DRG 522
HIP REPLACEMENT WITH PRINC
Relative Weight
2.1177
Geometric Mean LOS
4.0 Days
Arithmetic Mean LOS
4.5 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 37,275 | $101,929.82 | $18,449.23 | $15,922.45 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 91 | $26,491.35 | $24,016.03 |
| AL | 710 | $15,186.29 | $12,983.02 |
| AR | 655 | $15,033.95 | $13,172.56 |
| AZ | 966 | $18,492.58 | $15,776.13 |
| CA | 2,907 | $23,566.01 | $20,723.42 |
| CO | 389 | $17,707.89 | $15,038.15 |
| CT | 383 | $21,804.42 | $19,111.83 |
| DC | 71 | $22,783.89 | $18,109.75 |
| DE | 211 | $18,020.35 | $16,151.84 |
| FL | 3,327 | $16,542.17 | $14,328.28 |
| GA | 1,105 | $17,788.43 | $14,933.74 |
| HI | 101 | $24,344.98 | $21,496.71 |
| IA | 415 | $15,561.87 | $13,548.70 |
| ID | 134 | $17,275.38 | $15,381.01 |
| IL | 1,210 | $18,279.34 | $14,898.75 |
| IN | 773 | $16,264.44 | $13,901.16 |
| KS | 458 | $15,463.24 | $13,733.93 |
| KY | 574 | $16,245.68 | $13,544.41 |
| LA | 617 | $14,874.18 | $12,762.64 |
| MA | 885 | $20,179.32 | $17,779.77 |
| MD | 905 | $29,396.47 | $27,522.18 |
| ME | 108 | $19,170.82 | $16,039.77 |
| MI | 821 | $17,712.16 | $15,310.89 |
| MN | 538 | $17,896.88 | $15,381.72 |
| MO | 885 | $15,897.34 | $13,851.98 |
| MS | 572 | $15,035.57 | $13,175.04 |
| MT | 169 | $17,250.75 | $14,586.23 |
| NC | 1,220 | $17,129.03 | $14,710.19 |
| ND | 174 | $16,581.09 | $14,438.05 |
| NE | 327 | $17,229.40 | $14,796.16 |
| NH | 180 | $18,247.09 | $15,709.95 |
| NJ | 1,161 | $19,752.22 | $17,112.48 |
| NM | 194 | $19,727.08 | $16,277.07 |
| NV | 296 | $19,729.10 | $16,802.17 |
| NY | 1,776 | $22,565.97 | $19,304.90 |
| OH | 1,082 | $16,464.77 | $13,986.10 |
| OK | 740 | $15,719.44 | $13,984.84 |
| OR | 339 | $20,958.04 | $18,076.51 |
| PA | 1,301 | $17,638.36 | $15,021.67 |
| RI | 109 | $19,313.24 | $16,523.55 |
| SC | 921 | $16,796.10 | $14,196.80 |
| SD | 215 | $17,892.65 | $16,101.94 |
| TN | 1,099 | $15,727.00 | $13,446.65 |
| TX | 3,046 | $17,692.72 | $15,307.03 |
| UT | 215 | $17,301.97 | $14,820.90 |
| VA | 1,371 | $16,892.74 | $14,071.69 |
| VT | 98 | $12,166.21 | $10,349.87 |
| WA | 702 | $18,896.29 | $16,472.03 |
| WI | 385 | $17,199.40 | $14,770.11 |
| WV | 281 | $16,962.45 | $13,306.39 |
| WY | 63 | $23,147.94 | $20,770.86 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.1177 | 4.0 | Yes |
| 2024-10-01 | 2.1081 | 4.0 | Yes |
| 2023-10-01 | 2.1122 | 4.1 | Yes |
| 2022-10-01 | 2.1729 | 4.0 | Yes |
| 2021-10-01 | 2.1894 | 4.1 | Yes |
| 2020-10-01 | 2.1891 | 4.1 | Yes |
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