MS-DRG 559
AFTERCARE, MUSCULOSKELETAL
Relative Weight
1.8649
Geometric Mean LOS
5.1 Days
Arithmetic Mean LOS
7.0 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 264 | $98,533.31 | $28,023.50 | $25,358.11 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| CA | 26 | $21,990.96 | $19,806.33 |
| FL | 16 | $13,607.06 | $12,056.06 |
| MD | 155 | $36,970.26 | $34,863.30 |
| NY | 30 | $32,329.26 | $25,407.97 |
| OK | 12 | $12,449.58 | $9,851.75 |
| TN | 13 | $13,827.92 | $11,407.62 |
| TX | 12 | $13,035.75 | $12,584.50 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.8649 | 5.1 | Yes |
| 2024-10-01 | 1.8563 | 5.1 | Yes |
| 2023-10-01 | 1.8505 | 5.1 | Yes |
| 2022-10-01 | 1.7850 | 4.8 | Yes |
| 2021-10-01 | 1.8653 | 4.9 | Yes |
| 2020-10-01 | 1.8679 | 4.8 | Yes |
| 2019-10-01 | 1.8018 | 4.7 | Yes |
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