MS‑DRG 562: Fracture, Sprain, Strain and Dislocation except Femur, Hip, Pelvis and Thigh with MCC
What Medicare paid hospitals for MS‑DRG 562 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $12,148 per discharge for MS‑DRG 562, across 1,309 fee-for-service discharges at 87 hospitals: 0.03% of all Medicare inpatient discharges and $15.9M in total, the 275th largest MS‑DRG by Medicare spending.
By state, the average ran from $7,283 in Iowa to $16,523 in Georgia. Across hospitals, half were paid between $9,481 and $13,770 per case, and the median hospital $10,770; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $73,074 on average for these stays, 6.0 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.
What changed in FY2027
The rates for discharges from October 1, 2026 (MS‑DRG version 44) against FY2026.
| FY2026 | FY2027 | Change | |
|---|---|---|---|
| Relative weight | 1.4248 | 1.3980 | −1.9% |
| Geometric mean stay (days) | 4.1 | 4.1 | 0.0 |
| Average stay (days) | 5.2 | 5.1 | −0.1 |
- Not capped: the −1.9% is CMS’s yearly recalibration of every weight from recent claims and cost data.
- Name, MDC and transfer status are unchanged.
FY2027 national base payment (illustration)
$10,328.35
The FY2027 weight times the operating standardized amount and the capital rate ($6,848.00 + $539.95) at a wage index of 1.0. No IME, DSH, outlier or other hospital-specific adjustment, so it is not what any hospital is paid; price it at a hospital for that.
| MS‑DRG | Severity | Payment ($) | Step ($) |
|---|---|---|---|
| 562 | with MCC | 10,328.35 | — |
| 563 | without MCC | 6,638.07 | −3,690.28 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 562 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $26,408 | 29 | 2 | 1.2× |
| Georgia | $16,523 | 41 | 3 | 4.9× |
| New York | $15,760 | 224 | 11 | 7.0× |
| New Mexico | $14,261 | 11 | 1 | 3.7× |
| California | $14,110 | 111 | 8 | 8.1× |
| Connecticut | $13,718 | 12 | 1 | 2.8× |
| Tennessee | $12,408 | 46 | 3 | 4.0× |
| Washington | $11,974 | 11 | 1 | 4.0× |
| Massachusetts | $11,648 | 126 | 8 | 2.7× |
| Delaware | $11,581 | 11 | 1 | 4.5× |
| New Jersey | $11,403 | 53 | 4 | 6.7× |
| North Carolina | $10,701 | 43 | 3 | 5.1× |
| Minnesota | $10,678 | 23 | 2 | 5.1× |
| Illinois | $10,571 | 23 | 2 | 5.8× |
| South Carolina | $10,442 | 12 | 1 | 8.2× |
| Michigan | $10,197 | 50 | 4 | 3.3× |
| Pennsylvania | $10,163 | 55 | 4 | 4.6× |
| Kansas | $10,145 | 24 | 2 | 11.7× |
| Texas | $9,943 | 76 | 6 | 9.0× |
| Missouri | $9,468 | 14 | 1 | 3.5× |
| Florida | $9,407 | 200 | 10 | 8.1× |
| Oklahoma | $9,370 | 12 | 1 | 3.1× |
| Virginia | $8,855 | 30 | 2 | 9.9× |
| Ohio | $8,639 | 35 | 3 | 3.4× |
| Arizona | $8,544 | 26 | 2 | 6.7× |
| Iowa | $7,283 | 11 | 1 | 7.0× |
| United States | $12,148 | 1,309 | 87 | 6.0× |
* Maryland hospitals are paid under the state’s all-payer model, not the IPPS, so Maryland is left out of the state range above.
How much hospitals vary
Each hospital’s own average Medicare payment for MS‑DRG 562.
| 10th percentile | $8,852 |
|---|---|
| 25th percentile | $9,481 |
| Median hospital | $10,770 |
| 75th percentile | $13,770 |
| 90th percentile | $16,407 |
Related analysis
The same condition at other severities
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Questions
What did Medicare pay for MS‑DRG 562 in 2024?
An average of $12,148 per discharge across 1,309 fee-for-service discharges at 87 hospitals, $15.9M in total.
Which state paid the most for MS‑DRG 562?
Georgia, at $16,523 per case; Iowa paid the least, $7,283.
Where do these figures come from?
From the Medicare Inpatient Hospitals - by Provider and Service (data year 2024): the published hospital-by-DRG averages of Medicare fee-for-service inpatient discharges in 2024. Cells with fewer than 11 discharges are not published, so a hospital with a handful of cases is not counted. Average Medicare payment excludes the patient’s deductible and coinsurance.