MS-DRG 113
ORBITAL PROCEDURES WITH CC
Relative Weight
2.3511
Geometric Mean LOS
4.7 Days
Arithmetic Mean LOS
6.5 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 29 | $177,853.98 | $29,063.60 | $24,628.95 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| FL | 11 | $30,986.91 | $26,501.00 |
| PA | 18 | $27,140.28 | $22,756.89 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.3511 | 4.7 | No |
| 2024-10-01 | 2.2566 | 4.7 | No |
| 2023-10-01 | 2.5073 | 4.9 | No |
| 2022-10-01 | 2.2453 | 4.5 | No |
| 2021-10-01 | 2.1944 | 4.5 | No |
| 2020-10-01 | 2.1918 | 4.5 | No |
| 2019-10-01 | 2.1321 | 4.2 | No |
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