MS-DRG 563
FRACTURE, SPRAIN, STRAIN A
Relative Weight
0.8955
Geometric Mean LOS
3.0 Days
Arithmetic Mean LOS
3.5 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 15,402 | $43,701.60 | $8,679.99 | $6,602.59 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 96 | $7,455.96 | $5,248.58 |
| AR | 55 | $6,597.50 | $5,042.31 |
| AZ | 298 | $7,039.05 | $5,647.93 |
| CA | 1,427 | $10,673.69 | $8,547.55 |
| CO | 62 | $7,030.17 | $5,470.19 |
| CT | 119 | $9,542.35 | $7,582.38 |
| DC | 27 | $9,290.59 | $6,790.44 |
| DE | 63 | $8,896.60 | $6,258.37 |
| FL | 2,021 | $7,878.48 | $6,082.45 |
| GA | 315 | $9,523.68 | $6,991.22 |
| IA | 143 | $7,288.67 | $5,093.51 |
| ID | 43 | $7,789.43 | $6,371.15 |
| IL | 647 | $7,940.88 | $5,783.80 |
| IN | 294 | $9,314.06 | $7,540.36 |
| KS | 156 | $7,413.88 | $5,456.27 |
| KY | 133 | $7,306.67 | $5,274.87 |
| LA | 58 | $6,257.45 | $4,625.12 |
| MA | 872 | $8,563.63 | $6,755.63 |
| MD | 517 | $11,338.97 | $9,828.91 |
| ME | 37 | $7,626.23 | $5,998.08 |
| MI | 435 | $7,935.93 | $6,027.55 |
| MN | 177 | $8,412.92 | $6,010.56 |
| MO | 315 | $7,291.89 | $5,530.64 |
| MS | 70 | $6,787.70 | $4,951.37 |
| MT | 11 | $6,745.00 | $5,286.09 |
| NC | 303 | $8,448.52 | $6,061.33 |
| ND | 60 | $7,312.02 | $5,451.80 |
| NE | 74 | $8,963.86 | $6,237.89 |
| NH | 105 | $7,110.65 | $5,653.83 |
| NJ | 816 | $9,316.58 | $6,530.07 |
| NV | 147 | $8,560.56 | $6,619.77 |
| NY | 1,652 | $11,000.93 | $8,400.66 |
| OH | 481 | $7,120.39 | $5,092.97 |
| OK | 106 | $7,133.12 | $5,619.85 |
| OR | 69 | $11,273.06 | $6,984.78 |
| PA | 1,070 | $7,914.47 | $5,737.77 |
| RI | 14 | $10,096.36 | $7,584.36 |
| SC | 202 | $8,053.68 | $6,133.52 |
| SD | 40 | $7,355.46 | $5,527.60 |
| TN | 305 | $7,723.21 | $5,534.70 |
| TX | 631 | $8,413.72 | $6,489.76 |
| UT | 19 | $7,244.68 | $5,698.58 |
| VA | 427 | $7,479.27 | $5,475.78 |
| WA | 168 | $8,973.91 | $6,778.11 |
| WI | 189 | $7,726.15 | $5,577.18 |
| WV | 133 | $6,803.53 | $4,896.20 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.8955 | 3.0 | Yes |
| 2024-10-01 | 0.8938 | 2.8 | Yes |
| 2023-10-01 | 0.8956 | 2.8 | Yes |
| 2022-10-01 | 0.8612 | 2.7 | Yes |
| 2021-10-01 | 0.8722 | 3.0 | Yes |
| 2020-10-01 | 0.8708 | 3.0 | Yes |
| 2019-10-01 | 0.8540 | 3.0 | Yes |
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