MS-DRG 564
OTHER MUSCULOSKELETAL SYST
Relative Weight
1.5436
Geometric Mean LOS
4.8 Days
Arithmetic Mean LOS
6.2 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 715 | $82,862.82 | $17,192.27 | $14,459.12 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| CA | 28 | $19,449.13 | $16,753.47 |
| CT | 47 | $17,507.88 | $14,899.74 |
| FL | 55 | $12,395.68 | $10,712.92 |
| IL | 49 | $12,712.20 | $10,920.06 |
| MA | 116 | $17,550.50 | $14,403.06 |
| MD | 22 | $19,982.32 | $18,869.59 |
| ME | 11 | $69,408.91 | $65,415.27 |
| MI | 11 | $16,685.09 | $10,686.00 |
| NE | 14 | $11,112.14 | $8,766.86 |
| NJ | 127 | $15,457.32 | $12,804.60 |
| NY | 108 | $22,143.29 | $17,505.81 |
| OH | 16 | $12,746.00 | $10,575.88 |
| OK | 11 | $11,835.73 | $10,312.45 |
| PA | 53 | $12,901.01 | $10,896.75 |
| RI | 11 | $14,266.55 | $13,085.55 |
| TN | 13 | $10,290.77 | $8,663.46 |
| TX | 23 | $12,200.09 | $10,398.00 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.5436 | 4.8 | No |
| 2024-10-01 | 1.5692 | 4.8 | No |
| 2023-10-01 | 1.5619 | 5.0 | No |
| 2022-10-01 | 1.5533 | 4.7 | No |
| 2021-10-01 | 1.5236 | 4.6 | No |
| 2020-10-01 | 1.5138 | 4.6 | No |
| 2019-10-01 | 1.5120 | 4.6 | No |
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