MS-DRG 554
BONE DISEASES AND ARTHROPA
Relative Weight
0.8301
Geometric Mean LOS
2.8 Days
Arithmetic Mean LOS
3.5 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 3,500 | $37,319.64 | $8,641.05 | $6,494.51 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 14 | $6,453.14 | $5,127.00 |
| AZ | 61 | $7,432.89 | $5,446.56 |
| CA | 228 | $10,350.89 | $8,112.52 |
| CT | 31 | $10,764.78 | $7,888.88 |
| DC | 30 | $12,410.92 | $6,852.65 |
| DE | 23 | $8,003.04 | $5,590.17 |
| FL | 261 | $7,311.99 | $5,421.32 |
| GA | 11 | $22,140.18 | $17,019.45 |
| HI | 13 | $9,879.85 | $6,266.23 |
| IL | 311 | $7,985.38 | $5,685.47 |
| IN | 47 | $6,607.44 | $5,139.56 |
| KS | 37 | $7,134.08 | $5,173.86 |
| KY | 48 | $6,889.50 | $5,041.38 |
| MA | 281 | $8,294.31 | $6,402.25 |
| MD | 280 | $11,281.95 | $9,812.64 |
| ME | 13 | $8,164.69 | $6,607.69 |
| MI | 162 | $7,654.95 | $5,529.05 |
| MN | 65 | $7,686.34 | $5,687.63 |
| MO | 79 | $7,065.08 | $5,285.97 |
| MS | 13 | $6,477.77 | $4,539.92 |
| NC | 64 | $8,689.21 | $5,804.93 |
| NE | 25 | $6,568.77 | $4,962.70 |
| NJ | 281 | $8,791.87 | $6,807.31 |
| NV | 12 | $9,262.83 | $7,415.67 |
| NY | 462 | $9,917.18 | $7,516.50 |
| OH | 78 | $7,566.50 | $5,333.00 |
| PA | 285 | $7,878.17 | $5,708.35 |
| RI | 31 | $9,353.36 | $6,919.60 |
| SD | 11 | $7,421.73 | $5,725.36 |
| TN | 28 | $7,044.50 | $4,983.79 |
| TX | 52 | $8,196.55 | $6,075.70 |
| UT | 13 | $11,302.77 | $7,800.46 |
| VA | 66 | $6,987.22 | $4,939.14 |
| WA | 31 | $9,337.06 | $5,885.79 |
| WI | 53 | $9,429.72 | $6,127.85 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.8301 | 2.8 | No |
| 2024-10-01 | 0.8346 | 2.8 | No |
| 2023-10-01 | 0.8218 | 2.8 | No |
| 2022-10-01 | 0.8202 | 2.7 | No |
| 2021-10-01 | 0.7925 | 2.8 | No |
| 2020-10-01 | 0.7904 | 2.8 | No |
| 2019-10-01 | 0.7872 | 2.8 | No |
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