MS-DRG 086
TRAUMATIC STUPOR AND COMA
Relative Weight
1.3027
Geometric Mean LOS
2.9 Days
Arithmetic Mean LOS
3.6 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 8,306 | $71,468.79 | $12,751.94 | $10,230.04 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 108 | $11,472.91 | $8,334.45 |
| AR | 46 | $11,100.83 | $8,812.78 |
| AZ | 205 | $11,762.93 | $9,520.94 |
| CA | 911 | $15,963.44 | $13,368.86 |
| CO | 116 | $10,601.58 | $8,780.62 |
| CT | 56 | $15,006.28 | $11,681.63 |
| DC | 13 | $15,986.46 | $11,581.08 |
| DE | 70 | $12,558.75 | $9,635.16 |
| FL | 1,025 | $11,502.02 | $9,530.08 |
| GA | 215 | $13,972.52 | $11,324.86 |
| HI | 23 | $20,836.22 | $12,745.04 |
| IA | 34 | $9,604.09 | $7,849.24 |
| ID | 12 | $11,176.67 | $9,557.50 |
| IL | 379 | $12,700.05 | $9,291.71 |
| IN | 148 | $11,199.23 | $9,085.78 |
| KS | 167 | $10,725.19 | $8,626.85 |
| KY | 54 | $10,257.94 | $8,233.56 |
| LA | 139 | $10,686.59 | $8,297.19 |
| MA | 225 | $14,080.25 | $11,922.77 |
| MD | 138 | $14,248.87 | $12,852.58 |
| ME | 28 | $11,416.46 | $9,310.11 |
| MI | 139 | $11,232.12 | $8,788.84 |
| MN | 115 | $11,537.04 | $9,036.35 |
| MO | 199 | $11,751.73 | $9,413.05 |
| MS | 54 | $9,108.99 | $7,609.53 |
| MT | 11 | $9,944.45 | $8,615.64 |
| NC | 227 | $12,578.33 | $9,484.32 |
| ND | 30 | $13,307.51 | $9,210.76 |
| NE | 84 | $11,495.53 | $9,505.62 |
| NH | 24 | $12,479.88 | $10,844.71 |
| NJ | 286 | $14,025.17 | $10,847.30 |
| NV | 70 | $14,085.56 | $10,931.41 |
| NY | 337 | $14,875.12 | $12,003.90 |
| OH | 357 | $11,704.35 | $9,338.02 |
| OK | 127 | $10,706.95 | $8,984.83 |
| OR | 24 | $14,949.08 | $13,372.34 |
| PA | 489 | $12,003.69 | $9,342.57 |
| RI | 24 | $14,145.38 | $11,897.79 |
| SC | 104 | $10,702.94 | $8,826.57 |
| SD | 19 | $11,058.26 | $9,482.16 |
| TN | 307 | $12,383.42 | $9,664.27 |
| TX | 628 | $13,195.84 | $10,634.37 |
| UT | 38 | $11,221.31 | $8,801.31 |
| VA | 278 | $11,753.12 | $8,767.79 |
| VT | 21 | $12,011.67 | $8,171.86 |
| WA | 56 | $12,826.98 | $10,032.24 |
| WI | 99 | $11,681.62 | $9,251.53 |
| WV | 47 | $10,898.15 | $8,258.38 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.3027 | 2.9 | Yes |
| 2024-10-01 | 1.3116 | 3.0 | Yes |
| 2023-10-01 | 1.3171 | 3.0 | Yes |
| 2022-10-01 | 1.2997 | 2.9 | Yes |
| 2021-10-01 | 1.2745 | 3.0 | Yes |
| 2020-10-01 | 1.2729 | 3.0 | Yes |
| 2019-10-01 | 1.2378 | 3.1 | 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