MS-DRG 056
DEGENERATIVE NERVOUS SYSTE
Relative Weight
2.3231
Geometric Mean LOS
5.7 Days
Arithmetic Mean LOS
9.1 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 8,619 | $96,981.66 | $23,112.39 | $19,260.92 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 42 | $17,127.94 | $15,202.60 |
| AR | 38 | $14,430.68 | $13,318.12 |
| AZ | 60 | $23,419.93 | $17,187.73 |
| CA | 659 | $27,842.53 | $23,908.30 |
| CO | 52 | $18,422.22 | $16,441.75 |
| CT | 107 | $26,349.48 | $22,381.74 |
| DC | 30 | $29,126.83 | $24,097.99 |
| DE | 42 | $21,802.93 | $20,011.67 |
| FL | 984 | $17,555.51 | $15,501.48 |
| GA | 151 | $22,977.85 | $19,529.80 |
| HI | 17 | $33,887.00 | $24,846.71 |
| IA | 42 | $19,972.41 | $17,407.27 |
| ID | 12 | $18,815.42 | $17,680.92 |
| IL | 499 | $20,792.68 | $17,042.66 |
| IN | 122 | $18,979.26 | $16,189.21 |
| KS | 88 | $19,107.76 | $15,459.01 |
| KY | 64 | $18,629.72 | $15,119.93 |
| LA | 41 | $18,168.34 | $16,240.01 |
| MA | 509 | $23,974.17 | $20,549.82 |
| MD | 433 | $36,596.45 | $34,192.41 |
| ME | 24 | $23,551.25 | $20,226.04 |
| MI | 186 | $19,904.25 | $16,365.97 |
| MN | 134 | $27,517.59 | $21,880.97 |
| MO | 157 | $23,789.20 | $17,466.78 |
| MS | 91 | $17,239.67 | $15,239.95 |
| NC | 232 | $22,887.64 | $16,562.63 |
| NE | 54 | $20,670.37 | $16,418.49 |
| NH | 36 | $25,914.92 | $18,015.65 |
| NJ | 469 | $21,746.81 | $18,697.80 |
| NM | 18 | $17,076.06 | $15,391.22 |
| NV | 26 | $21,488.25 | $20,067.53 |
| NY | 1,031 | $30,007.61 | $24,796.04 |
| OH | 258 | $19,190.26 | $15,323.30 |
| OK | 79 | $15,903.04 | $14,741.11 |
| OR | 72 | $23,766.86 | $20,490.75 |
| PA | 404 | $22,907.52 | $18,549.59 |
| RI | 36 | $21,862.98 | $18,694.48 |
| SC | 161 | $19,957.09 | $15,664.12 |
| SD | 41 | $22,276.76 | $19,696.19 |
| TN | 182 | $20,058.26 | $14,701.48 |
| TX | 415 | $20,099.86 | $16,792.40 |
| UT | 18 | $26,049.67 | $21,302.00 |
| VA | 278 | $22,926.22 | $17,386.03 |
| VT | 17 | $23,707.59 | $9,612.82 |
| WA | 124 | $22,482.09 | $18,361.26 |
| WI | 57 | $31,411.59 | $21,674.22 |
| WV | 27 | $20,969.50 | $13,285.09 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.3231 | 5.7 | Yes |
| 2024-10-01 | 2.5041 | 6.0 | Yes |
| 2023-10-01 | 2.3940 | 6.1 | Yes |
| 2022-10-01 | 2.2308 | 5.7 | Yes |
| 2021-10-01 | 2.1953 | 5.5 | Yes |
| 2020-10-01 | 2.1873 | 5.5 | Yes |
| 2019-10-01 | 2.1924 | 5.5 | Yes |
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