MS-DRG 038
EXTRACRANIAL PROCEDURES WI
Relative Weight
1.6226
Geometric Mean LOS
1.9 Days
Arithmetic Mean LOS
2.7 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 3,458 | $80,689.95 | $14,784.67 | $11,929.98 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 77 | $12,346.73 | $9,307.56 |
| AR | 24 | $11,789.56 | $9,814.38 |
| AZ | 48 | $14,067.15 | $11,830.75 |
| CA | 195 | $18,509.77 | $16,247.55 |
| CO | 26 | $12,924.89 | $11,473.73 |
| CT | 11 | $20,052.64 | $13,856.55 |
| DE | 24 | $17,390.75 | $13,283.96 |
| FL | 263 | $13,832.01 | $10,669.40 |
| GA | 152 | $14,227.37 | $10,942.20 |
| IA | 21 | $11,502.95 | $9,005.95 |
| ID | 11 | $13,855.64 | $9,871.27 |
| IL | 126 | $13,656.48 | $10,610.21 |
| IN | 94 | $13,554.10 | $10,517.91 |
| KS | 80 | $13,331.58 | $10,988.27 |
| KY | 55 | $13,717.40 | $9,331.06 |
| LA | 70 | $12,497.33 | $9,362.48 |
| MA | 155 | $18,969.41 | $15,623.84 |
| MD | 105 | $19,982.22 | $17,991.19 |
| ME | 17 | $14,333.29 | $12,582.53 |
| MI | 66 | $14,109.09 | $10,968.51 |
| MN | 118 | $14,330.10 | $12,136.01 |
| MO | 125 | $13,138.79 | $10,849.48 |
| MS | 74 | $11,790.88 | $10,244.28 |
| MT | 15 | $15,092.07 | $10,303.60 |
| NC | 87 | $13,853.05 | $11,702.98 |
| ND | 30 | $13,198.10 | $11,802.98 |
| NE | 64 | $11,322.58 | $9,818.46 |
| NH | 25 | $15,970.15 | $14,087.83 |
| NJ | 101 | $16,603.58 | $13,284.81 |
| NV | 12 | $14,845.75 | $13,524.83 |
| NY | 185 | $19,078.98 | $15,250.22 |
| OH | 150 | $13,730.90 | $10,340.35 |
| OK | 110 | $12,175.02 | $10,194.39 |
| OR | 11 | $15,387.64 | $10,955.45 |
| PA | 84 | $16,508.72 | $12,608.29 |
| SC | 54 | $13,350.22 | $11,542.00 |
| SD | 25 | $15,121.38 | $12,782.13 |
| TN | 44 | $14,511.44 | $9,822.88 |
| TX | 202 | $13,942.32 | $11,049.64 |
| UT | 12 | $12,919.83 | $11,562.50 |
| VA | 89 | $15,352.34 | $11,820.18 |
| VT | 14 | $10,386.57 | $8,556.29 |
| WA | 55 | $15,135.11 | $11,766.05 |
| WI | 128 | $14,305.13 | $11,124.92 |
| WV | 24 | $12,033.38 | $9,434.08 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.6226 | 1.9 | No |
| 2024-10-01 | 1.6113 | 1.9 | No |
| 2023-10-01 | 1.5999 | 1.9 | No |
| 2022-10-01 | 1.6355 | 1.9 | No |
| 2021-10-01 | 1.6588 | 2.1 | No |
| 2020-10-01 | 1.6573 | 2.1 | No |
| 2019-10-01 | 1.6752 | 2.1 | No |
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