MS-DRG 125
OTHER DISORDERS OF THE EYE
Relative Weight
0.7678
Geometric Mean LOS
2.2 Days
Arithmetic Mean LOS
2.9 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 709 | $46,167.89 | $9,898.84 | $6,981.07 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| CA | 13 | $19,548.23 | $11,190.69 |
| CT | 13 | $13,153.62 | $7,274.92 |
| DE | 12 | $7,437.17 | $5,693.17 |
| FL | 120 | $7,833.26 | $5,581.12 |
| IL | 13 | $7,707.46 | $5,652.54 |
| IN | 12 | $10,966.58 | $6,781.00 |
| LA | 11 | $8,730.00 | $4,413.55 |
| MA | 50 | $10,118.20 | $7,600.17 |
| MD | 35 | $16,265.11 | $14,569.05 |
| MI | 14 | $7,605.21 | $5,324.00 |
| MO | 24 | $9,315.54 | $6,386.00 |
| NC | 25 | $9,395.17 | $6,168.17 |
| NJ | 11 | $7,153.09 | $5,295.45 |
| NV | 12 | $8,109.50 | $5,132.42 |
| NY | 110 | $11,162.77 | $8,171.87 |
| OK | 12 | $11,051.42 | $7,564.42 |
| PA | 99 | $8,368.15 | $6,326.24 |
| SC | 16 | $10,589.13 | $6,534.50 |
| TN | 25 | $11,735.83 | $5,463.39 |
| TX | 49 | $8,064.47 | $6,330.96 |
| WA | 18 | $10,451.56 | $8,387.28 |
| WV | 15 | $8,880.00 | $5,201.80 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.7678 | 2.2 | No |
| 2024-10-01 | 0.8257 | 2.3 | No |
| 2023-10-01 | 0.7975 | 2.3 | No |
| 2022-10-01 | 0.8621 | 2.5 | No |
| 2021-10-01 | 0.8370 | 2.5 | No |
| 2020-10-01 | 0.8354 | 2.5 | No |
| 2019-10-01 | 0.7894 | 2.5 | No |
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