MS-DRG 001
HEART TRANSPLANT OR IMPLAN
Relative Weight
28.0239
Geometric Mean LOS
25.8 Days
Arithmetic Mean LOS
36.2 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 1,814 | $1,569,030.88 | $341,048.49 | $286,684.54 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 11 | $340,531.55 | $242,985.09 |
| AR | 38 | $253,026.56 | $216,964.13 |
| AZ | 16 | $333,027.13 | $248,859.75 |
| CA | 218 | $471,769.76 | $420,626.01 |
| CO | 16 | $325,485.88 | $306,289.44 |
| CT | 14 | $318,212.21 | $251,111.71 |
| DC | 51 | $345,000.98 | $282,646.00 |
| FL | 145 | $291,352.54 | $237,855.70 |
| GA | 54 | $347,121.56 | $236,494.90 |
| IL | 97 | $368,284.62 | $300,211.78 |
| IN | 34 | $254,035.53 | $240,559.78 |
| KS | 21 | $229,828.14 | $211,671.71 |
| KY | 25 | $295,282.62 | $267,802.26 |
| LA | 11 | $192,941.27 | $144,650.18 |
| MA | 68 | $382,087.23 | $327,311.91 |
| MD | 24 | $561,230.17 | $512,608.42 |
| MI | 28 | $299,618.43 | $237,200.59 |
| MN | 59 | $367,216.76 | $296,742.90 |
| MO | 66 | $285,042.04 | $248,590.28 |
| NC | 115 | $289,214.20 | $231,980.80 |
| NE | 22 | $257,420.86 | $237,939.91 |
| NJ | 47 | $308,957.59 | $241,425.53 |
| NY | 112 | $453,898.76 | $385,701.70 |
| OH | 69 | $295,714.51 | $271,504.56 |
| OK | 21 | $328,899.24 | $287,994.71 |
| OR | 18 | $281,886.67 | $228,261.17 |
| PA | 70 | $349,017.25 | $314,510.96 |
| SC | 28 | $311,036.29 | $261,822.50 |
| TN | 79 | $257,704.42 | $228,067.45 |
| TX | 154 | $309,644.86 | $231,848.01 |
| UT | 18 | $348,312.22 | $319,196.89 |
| VA | 41 | $376,665.63 | $294,092.29 |
| WA | 24 | $376,028.13 | $331,533.42 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 28.0239 | 25.8 | No |
| 2024-10-01 | 28.1683 | 28.5 | No |
| 2023-10-01 | 27.0986 | 30.3 | No |
| 2022-10-01 | 28.1461 | 29.9 | No |
| 2021-10-01 | 28.9132 | 30.1 | No |
| 2020-10-01 | 28.9651 | 30.2 | No |
| 2019-10-01 | 27.6339 | 28.5 | No |
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