MS-DRG 012
TRACHEOSTOMY FOR FACE, MOU
Relative Weight
4.2160
Geometric Mean LOS
8.6 Days
Arithmetic Mean LOS
9.8 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 625 | $235,051.69 | $51,334.97 | $39,567.03 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 23 | $39,194.70 | $27,243.96 |
| AR | 21 | $37,218.81 | $31,323.33 |
| AZ | 13 | $73,024.23 | $44,357.77 |
| CA | 64 | $68,076.77 | $55,804.09 |
| FL | 38 | $39,558.24 | $34,554.69 |
| GA | 19 | $51,417.42 | $35,640.26 |
| IA | 15 | $41,453.73 | $33,221.40 |
| IL | 11 | $43,610.09 | $37,396.00 |
| IN | 13 | $40,303.31 | $34,359.15 |
| KS | 28 | $38,234.25 | $30,532.89 |
| KY | 12 | $35,180.00 | $30,879.42 |
| MA | 24 | $52,875.71 | $40,054.67 |
| MD | 42 | $93,503.98 | $86,222.94 |
| MI | 24 | $52,557.79 | $37,945.92 |
| MN | 38 | $61,870.29 | $34,329.66 |
| MO | 20 | $45,033.45 | $31,557.10 |
| MS | 16 | $37,726.25 | $35,023.50 |
| NC | 45 | $50,741.10 | $35,631.57 |
| OH | 27 | $47,498.17 | $32,226.45 |
| OR | 12 | $63,387.25 | $45,719.08 |
| PA | 60 | $44,768.29 | $36,135.26 |
| SC | 11 | $30,624.82 | $28,586.64 |
| TN | 21 | $46,983.52 | $29,899.43 |
| TX | 12 | $46,485.17 | $37,800.08 |
| VA | 16 | $56,328.88 | $30,688.00 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 4.2160 | 8.6 | No |
| 2024-10-01 | 4.1037 | 8.5 | No |
| 2023-10-01 | 4.0049 | 8.5 | No |
| 2022-10-01 | 3.9095 | 8.4 | No |
| 2021-10-01 | 3.8328 | 8.3 | No |
| 2020-10-01 | 3.8319 | 8.3 | No |
| 2019-10-01 | 3.7740 | 8.5 | No |
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