MS-DRG 565
OTHER MUSCULOSKELETAL SYST
Relative Weight
0.9744
Geometric Mean LOS
3.3 Days
Arithmetic Mean LOS
4.1 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 1,701 | $50,647.73 | $10,370.89 | $7,475.11 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| CA | 35 | $14,844.35 | $12,711.52 |
| CT | 11 | $12,850.27 | $9,556.00 |
| DE | 15 | $9,804.00 | $6,994.53 |
| FL | 136 | $8,156.04 | $6,196.97 |
| GA | 54 | $11,527.13 | $7,503.58 |
| IL | 133 | $8,563.07 | $6,496.56 |
| IN | 14 | $8,985.86 | $5,179.86 |
| KS | 15 | $9,275.20 | $6,190.13 |
| KY | 15 | $7,699.40 | $5,404.60 |
| MA | 169 | $9,758.10 | $7,788.44 |
| MD | 56 | $10,045.94 | $8,399.90 |
| ME | 17 | $9,729.47 | $7,453.59 |
| MI | 42 | $10,138.78 | $6,524.92 |
| MN | 23 | $10,462.95 | $5,060.62 |
| MO | 14 | $7,487.43 | $5,693.21 |
| NC | 14 | $10,885.07 | $7,231.43 |
| NE | 30 | $10,423.34 | $7,172.50 |
| NH | 11 | $12,732.27 | $9,858.91 |
| NJ | 195 | $11,955.99 | $7,784.65 |
| NV | 11 | $9,702.36 | $8,042.27 |
| NY | 210 | $12,455.00 | $9,439.05 |
| OH | 37 | $9,537.46 | $5,975.62 |
| OK | 35 | $9,161.41 | $7,628.12 |
| PA | 219 | $10,540.18 | $6,795.29 |
| SC | 14 | $8,933.43 | $6,977.57 |
| TN | 14 | $6,641.36 | $4,850.36 |
| TX | 57 | $8,605.80 | $6,979.66 |
| VA | 93 | $9,858.86 | $6,481.89 |
| WA | 12 | $8,795.83 | $6,867.42 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.9744 | 3.3 | No |
| 2024-10-01 | 1.0197 | 3.3 | No |
| 2023-10-01 | 0.9994 | 3.3 | No |
| 2022-10-01 | 0.9874 | 3.3 | No |
| 2021-10-01 | 1.0093 | 3.4 | No |
| 2020-10-01 | 1.0063 | 3.4 | No |
| 2019-10-01 | 0.9805 | 3.3 | No |
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