MS-DRG 011
TRACHEOSTOMY FOR FACE, MOU
Relative Weight
5.4541
Geometric Mean LOS
11.4 Days
Arithmetic Mean LOS
13.9 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 371 | $306,271.27 | $65,569.85 | $52,255.83 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 12 | $62,601.42 | $35,136.67 |
| CA | 29 | $95,425.45 | $81,614.72 |
| FL | 32 | $57,519.14 | $41,024.84 |
| GA | 13 | $60,456.62 | $54,516.85 |
| IA | 13 | $51,548.31 | $46,436.38 |
| IN | 15 | $61,935.20 | $46,623.13 |
| KS | 24 | $47,839.63 | $40,308.75 |
| MA | 11 | $64,777.09 | $50,794.09 |
| MD | 17 | $126,472.29 | $125,128.29 |
| MI | 16 | $71,022.06 | $46,991.25 |
| MN | 14 | $66,500.07 | $59,422.79 |
| MO | 15 | $60,216.73 | $50,111.67 |
| NC | 14 | $68,507.64 | $43,136.71 |
| OH | 28 | $54,285.40 | $44,780.40 |
| OK | 14 | $38,902.29 | $36,006.14 |
| PA | 45 | $57,382.54 | $50,275.94 |
| SC | 23 | $67,261.87 | $41,843.77 |
| TN | 12 | $68,760.33 | $40,077.58 |
| TX | 13 | $51,500.38 | $46,799.31 |
| WA | 11 | $82,644.64 | $67,806.64 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 5.4541 | 11.4 | No |
| 2024-10-01 | 5.3959 | 11.7 | No |
| 2023-10-01 | 5.1563 | 11.5 | No |
| 2022-10-01 | 5.1652 | 11.7 | No |
| 2021-10-01 | 5.0214 | 10.9 | No |
| 2020-10-01 | 5.0164 | 10.9 | No |
| 2019-10-01 | 4.9438 | 11.0 | No |
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