MS-DRG 535
FRACTURES OF HIP AND PELVI
Relative Weight
1.2820
Geometric Mean LOS
3.9 Days
Arithmetic Mean LOS
5.0 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 1,062 | $61,914.81 | $11,943.63 | $9,805.46 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 13 | $9,432.15 | $7,285.46 |
| AR | 14 | $8,022.50 | $6,516.14 |
| CA | 38 | $14,440.17 | $12,422.17 |
| CT | 32 | $14,632.99 | $12,326.04 |
| DC | 11 | $18,955.82 | $15,167.91 |
| DE | 11 | $12,244.73 | $10,204.55 |
| FL | 226 | $9,737.51 | $8,092.57 |
| GA | 28 | $13,608.42 | $10,818.54 |
| IA | 13 | $10,713.54 | $7,037.85 |
| IL | 37 | $11,225.67 | $9,308.24 |
| IN | 13 | $12,328.08 | $9,506.31 |
| KY | 12 | $8,810.75 | $6,459.92 |
| LA | 25 | $8,981.53 | $7,412.40 |
| MA | 81 | $11,573.93 | $10,155.04 |
| MD | 11 | $14,856.36 | $13,524.00 |
| MI | 22 | $11,133.32 | $8,733.55 |
| MN | 13 | $12,626.15 | $11,143.08 |
| MO | 14 | $10,362.86 | $8,602.86 |
| MS | 24 | $9,706.99 | $8,167.57 |
| NC | 31 | $11,459.75 | $9,868.28 |
| NJ | 11 | $12,449.91 | $10,426.64 |
| NV | 25 | $11,472.47 | $9,889.94 |
| NY | 179 | $15,971.19 | $13,000.72 |
| OH | 11 | $9,211.36 | $7,485.55 |
| OK | 11 | $13,871.27 | $11,279.00 |
| PA | 14 | $11,558.21 | $7,533.36 |
| SC | 12 | $12,445.67 | $10,392.92 |
| TN | 49 | $12,036.77 | $8,712.21 |
| TX | 45 | $12,175.93 | $10,163.89 |
| VA | 24 | $11,281.79 | $9,066.63 |
| WA | 12 | $9,926.67 | $7,964.58 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.2820 | 3.9 | Yes |
| 2024-10-01 | 1.3299 | 3.9 | Yes |
| 2023-10-01 | 1.2967 | 3.9 | Yes |
| 2022-10-01 | 1.2895 | 3.8 | Yes |
| 2021-10-01 | 1.2328 | 3.8 | Yes |
| 2020-10-01 | 1.2338 | 3.8 | Yes |
| 2019-10-01 | 1.2271 | 3.7 | 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