MS-DRG 562
FRACTURE, SPRAIN, STRAIN A
Relative Weight
1.4248
Geometric Mean LOS
4.1 Days
Arithmetic Mean LOS
5.2 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 1,309 | $70,220.48 | $14,408.06 | $11,975.69 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AZ | 26 | $9,815.36 | $8,474.81 |
| CA | 111 | $16,840.20 | $14,123.98 |
| CT | 12 | $15,783.50 | $13,718.00 |
| DE | 11 | $13,614.73 | $11,581.45 |
| FL | 200 | $11,029.72 | $9,407.22 |
| GA | 41 | $19,878.49 | $16,691.79 |
| IA | 11 | $10,474.82 | $7,283.45 |
| IL | 23 | $12,356.92 | $10,620.01 |
| KS | 24 | $11,760.04 | $10,144.79 |
| MA | 126 | $14,242.84 | $11,823.66 |
| MD | 29 | $26,795.55 | $24,541.25 |
| MI | 50 | $11,777.78 | $10,075.35 |
| MN | 23 | $12,199.61 | $10,624.30 |
| MO | 14 | $10,400.21 | $9,467.64 |
| NC | 43 | $15,387.05 | $10,834.71 |
| NJ | 53 | $14,122.21 | $11,446.26 |
| NM | 11 | $15,824.91 | $14,261.00 |
| NY | 224 | $18,808.55 | $15,529.63 |
| OH | 35 | $11,135.11 | $8,542.47 |
| OK | 12 | $10,809.50 | $9,370.25 |
| PA | 55 | $12,772.24 | $10,198.39 |
| SC | 12 | $12,447.67 | $10,442.50 |
| TN | 46 | $15,929.92 | $13,257.16 |
| TX | 76 | $12,555.77 | $9,949.07 |
| VA | 30 | $10,917.60 | $8,972.34 |
| WA | 11 | $13,584.64 | $11,974.00 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.4248 | 4.1 | Yes |
| 2024-10-01 | 1.4635 | 4.1 | Yes |
| 2023-10-01 | 1.5207 | 4.3 | Yes |
| 2022-10-01 | 1.4628 | 4.0 | Yes |
| 2021-10-01 | 1.4118 | 4.0 | Yes |
| 2020-10-01 | 1.4080 | 4.0 | Yes |
| 2019-10-01 | 1.3471 | 4.0 | Yes |
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