MS-DRG 536
FRACTURES OF HIP AND PELVI
Relative Weight
0.8076
Geometric Mean LOS
2.9 Days
Arithmetic Mean LOS
3.5 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 10,120 | $38,530.00 | $7,538.04 | $5,651.75 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 132 | $6,823.30 | $4,614.47 |
| AR | 103 | $5,760.75 | $4,426.09 |
| AZ | 179 | $6,253.10 | $4,665.44 |
| CA | 919 | $9,225.33 | $7,140.44 |
| CO | 82 | $6,326.29 | $4,861.32 |
| CT | 42 | $8,698.18 | $6,770.93 |
| DC | 12 | $6,202.17 | $4,931.83 |
| DE | 62 | $8,431.34 | $5,773.07 |
| FL | 1,376 | $6,826.38 | $5,178.66 |
| GA | 273 | $8,393.52 | $6,514.02 |
| HI | 15 | $10,950.00 | $5,675.47 |
| IA | 104 | $5,690.71 | $4,214.63 |
| ID | 58 | $6,990.19 | $5,258.61 |
| IL | 361 | $6,574.14 | $4,664.38 |
| IN | 111 | $6,371.88 | $4,877.96 |
| KS | 77 | $6,452.79 | $4,748.02 |
| KY | 81 | $5,374.72 | $3,908.82 |
| LA | 116 | $5,748.84 | $4,208.66 |
| MA | 360 | $7,651.17 | $5,867.34 |
| MD | 453 | $10,478.96 | $8,931.12 |
| ME | 15 | $7,618.00 | $5,385.33 |
| MI | 175 | $7,076.09 | $5,032.88 |
| MN | 63 | $6,369.24 | $4,653.48 |
| MO | 188 | $6,685.24 | $4,761.08 |
| MS | 110 | $5,893.64 | $4,454.36 |
| MT | 26 | $6,805.00 | $4,555.08 |
| NC | 412 | $7,515.70 | $5,247.67 |
| ND | 11 | $6,595.27 | $4,772.00 |
| NE | 98 | $7,943.63 | $5,529.84 |
| NH | 58 | $6,593.24 | $4,782.67 |
| NJ | 494 | $7,482.07 | $5,618.72 |
| NM | 11 | $7,491.82 | $6,159.45 |
| NV | 84 | $8,442.10 | $6,494.36 |
| NY | 949 | $8,880.23 | $6,705.00 |
| OH | 184 | $7,007.09 | $4,565.28 |
| OK | 132 | $6,996.27 | $5,074.45 |
| OR | 26 | $8,834.93 | $7,274.63 |
| PA | 476 | $6,895.12 | $5,012.80 |
| SC | 264 | $7,330.87 | $5,403.64 |
| SD | 11 | $6,697.55 | $4,804.82 |
| TN | 243 | $7,890.82 | $5,475.16 |
| TX | 572 | $7,728.09 | $6,087.41 |
| UT | 26 | $6,371.35 | $5,054.42 |
| VA | 330 | $6,708.30 | $4,758.61 |
| VT | 17 | $4,812.18 | $2,434.06 |
| WA | 88 | $7,535.03 | $5,904.95 |
| WI | 68 | $8,142.18 | $5,604.96 |
| WV | 39 | $6,237.67 | $4,300.28 |
| WY | 34 | $8,223.09 | $6,716.00 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.8076 | 2.9 | Yes |
| 2024-10-01 | 0.8109 | 2.8 | Yes |
| 2023-10-01 | 0.7871 | 2.8 | Yes |
| 2022-10-01 | 0.7771 | 2.7 | Yes |
| 2021-10-01 | 0.7717 | 2.9 | Yes |
| 2020-10-01 | 0.7716 | 2.9 | Yes |
| 2019-10-01 | 0.7585 | 2.9 | Yes |
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