FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC
Medicare inpatient claims for MS-DRG 563. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.
What is MS-DRG 563?
MS-DRG 563 is the Medicare Severity Diagnosis-Related Group for FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC. When a Medicare patient is discharged, the hospital stay is grouped into a single MS-DRG, and Medicare reimburses the hospital a fixed, predetermined amount for that group rather than itemizing each service.
Across the CMS Medicare Inpatient Hospitals by Provider dataset, 846 hospitals reported 28,790 discharges for MS-DRG 563. The average hospital submitted charge was $43K, while the average amount Medicare actually paid was $6K — a 6.8× gap between list price and reimbursement, which is typical for Medicare inpatient claims.