MS-DRG 103
HEADACHES WITHOUT MCC
Relative Weight
0.8363
Geometric Mean LOS
2.3 Days
Arithmetic Mean LOS
2.9 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 2,179 | $54,100.62 | $9,347.67 | $6,050.89 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AZ | 43 | $8,295.87 | $6,220.45 |
| CA | 114 | $14,260.04 | $9,209.30 |
| CO | 11 | $7,110.45 | $5,161.18 |
| DE | 31 | $9,037.32 | $5,965.68 |
| FL | 299 | $7,687.90 | $5,172.83 |
| IL | 284 | $11,934.63 | $5,943.44 |
| IN | 15 | $8,043.20 | $5,165.60 |
| KS | 45 | $9,809.82 | $5,298.97 |
| KY | 25 | $6,313.48 | $4,869.00 |
| LA | 11 | $5,793.73 | $4,289.36 |
| MA | 72 | $8,625.00 | $6,037.97 |
| MD | 39 | $12,114.95 | $10,574.51 |
| MI | 72 | $9,648.34 | $5,200.86 |
| MO | 51 | $9,376.39 | $5,360.07 |
| MS | 16 | $6,739.81 | $5,057.88 |
| NC | 49 | $8,315.39 | $5,106.03 |
| ND | 13 | $8,933.00 | $5,288.38 |
| NJ | 36 | $11,347.82 | $5,413.33 |
| NV | 65 | $8,508.66 | $6,374.50 |
| NY | 125 | $10,408.97 | $7,829.81 |
| OH | 73 | $8,943.50 | $4,350.01 |
| OK | 11 | $8,155.18 | $4,871.45 |
| PA | 378 | $8,351.12 | $5,719.90 |
| SC | 11 | $8,001.18 | $5,258.91 |
| TN | 22 | $9,309.55 | $5,262.82 |
| TX | 177 | $8,417.66 | $5,565.61 |
| VA | 73 | $7,009.51 | $5,157.93 |
| WV | 18 | $8,533.44 | $5,258.33 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.8363 | 2.3 | No |
| 2024-10-01 | 0.8502 | 2.3 | No |
| 2023-10-01 | 0.8424 | 2.3 | No |
| 2022-10-01 | 0.8325 | 2.3 | No |
| 2021-10-01 | 0.8295 | 2.3 | No |
| 2020-10-01 | 0.8282 | 2.3 | No |
| 2019-10-01 | 0.7995 | 2.3 | No |
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