MS-DRG 085
TRAUMATIC STUPOR AND COMA
Relative Weight
2.2719
Geometric Mean LOS
4.6 Days
Arithmetic Mean LOS
6.3 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 4,544 | $119,420.85 | $22,227.24 | $18,652.34 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 25 | $17,582.35 | $14,325.01 |
| AR | 40 | $14,828.18 | $13,569.43 |
| AZ | 195 | $22,075.60 | $18,807.19 |
| CA | 351 | $30,319.23 | $24,941.43 |
| CO | 32 | $15,770.06 | $14,140.80 |
| CT | 56 | $24,848.29 | $21,265.36 |
| DC | 13 | $25,681.15 | $22,516.85 |
| DE | 31 | $19,281.61 | $16,885.65 |
| FL | 565 | $17,880.98 | $15,838.96 |
| GA | 100 | $23,617.42 | $20,104.97 |
| HI | 24 | $30,458.54 | $22,413.46 |
| IA | 11 | $15,499.00 | $13,437.55 |
| ID | 12 | $16,629.25 | $14,966.83 |
| IL | 207 | $20,339.76 | $16,751.24 |
| IN | 87 | $18,630.01 | $16,015.92 |
| KS | 89 | $17,394.07 | $15,180.47 |
| KY | 38 | $17,851.76 | $14,567.35 |
| LA | 23 | $15,526.74 | $14,200.55 |
| MA | 175 | $26,599.14 | $22,773.55 |
| MD | 68 | $38,630.98 | $35,570.83 |
| ME | 30 | $18,388.70 | $16,222.10 |
| MI | 50 | $17,317.09 | $15,256.06 |
| MN | 85 | $23,443.58 | $17,683.81 |
| MO | 103 | $21,729.17 | $18,447.18 |
| MS | 12 | $16,038.92 | $14,009.75 |
| NC | 90 | $19,143.91 | $16,563.07 |
| NE | 48 | $22,621.20 | $19,438.42 |
| NH | 12 | $17,713.50 | $16,008.08 |
| NJ | 207 | $23,573.87 | $20,521.54 |
| NV | 47 | $22,880.91 | $18,904.09 |
| NY | 278 | $26,901.66 | $22,881.77 |
| OH | 92 | $20,849.58 | $16,963.45 |
| OK | 100 | $19,628.27 | $17,394.57 |
| OR | 17 | $31,841.29 | $22,440.12 |
| PA | 265 | $20,586.82 | $16,832.51 |
| RI | 21 | $24,928.76 | $18,323.81 |
| SC | 83 | $17,926.91 | $16,078.72 |
| TN | 171 | $21,739.70 | $16,714.51 |
| TX | 342 | $19,772.33 | $16,873.50 |
| VA | 183 | $23,235.31 | $16,517.29 |
| VT | 12 | $16,861.83 | $11,998.92 |
| WA | 74 | $20,233.44 | $18,041.86 |
| WI | 68 | $22,833.30 | $18,114.53 |
| WV | 12 | $21,189.50 | $16,945.25 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.2719 | 4.6 | Yes |
| 2024-10-01 | 2.2660 | 4.6 | Yes |
| 2023-10-01 | 2.2728 | 4.7 | Yes |
| 2022-10-01 | 2.3357 | 4.6 | Yes |
| 2021-10-01 | 2.3117 | 4.6 | Yes |
| 2020-10-01 | 2.3064 | 4.6 | Yes |
| 2019-10-01 | 2.2458 | 4.6 | Yes |
Automate Your DRG Pricing
Bedrock Billing offers the industry's fastest enterprise API for MS-DRG grouping, pricing, and claims analysis.
Try Bedrock Billing for Free