MS-DRG 163
MAJOR CHEST PROCEDURES WIT
Relative Weight
4.4818
Geometric Mean LOS
6.3 Days
Arithmetic Mean LOS
8.7 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 9,224 | $213,107.51 | $43,934.39 | $36,689.22 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 18 | $47,017.00 | $40,048.61 |
| AL | 95 | $32,831.12 | $25,566.62 |
| AR | 171 | $33,440.22 | $30,411.89 |
| AZ | 253 | $41,987.20 | $36,206.09 |
| CA | 672 | $60,104.58 | $52,776.30 |
| CO | 133 | $39,793.04 | $32,973.70 |
| CT | 73 | $48,939.38 | $41,104.86 |
| DC | 53 | $55,351.62 | $47,851.56 |
| DE | 36 | $42,352.11 | $35,463.22 |
| FL | 742 | $35,949.09 | $31,473.51 |
| GA | 157 | $49,304.11 | $34,189.08 |
| HI | 15 | $46,856.27 | $35,737.60 |
| IA | 88 | $37,267.36 | $30,736.85 |
| ID | 62 | $47,721.51 | $33,728.61 |
| IL | 363 | $42,242.70 | $35,664.65 |
| IN | 233 | $37,778.02 | $32,486.22 |
| KS | 106 | $36,515.99 | $31,586.52 |
| KY | 155 | $38,878.75 | $30,667.87 |
| LA | 43 | $33,477.62 | $30,203.95 |
| MA | 347 | $51,471.34 | $45,650.04 |
| MD | 104 | $53,562.86 | $51,775.28 |
| ME | 15 | $65,366.73 | $35,725.80 |
| MI | 206 | $42,275.28 | $34,673.54 |
| MN | 174 | $50,503.16 | $40,368.40 |
| MO | 231 | $39,447.34 | $34,628.29 |
| MS | 67 | $32,796.03 | $29,776.07 |
| MT | 63 | $35,837.91 | $34,266.10 |
| NC | 250 | $43,956.09 | $34,876.20 |
| ND | 44 | $35,443.69 | $29,363.19 |
| NE | 121 | $41,709.37 | $37,140.11 |
| NH | 37 | $45,187.54 | $41,790.88 |
| NJ | 255 | $44,418.12 | $38,783.73 |
| NM | 32 | $51,841.81 | $42,718.42 |
| NV | 84 | $43,162.64 | $34,342.42 |
| NY | 542 | $54,482.03 | $44,077.23 |
| OH | 359 | $40,557.17 | $31,596.62 |
| OK | 142 | $44,500.87 | $33,388.01 |
| OR | 70 | $49,379.86 | $39,651.09 |
| PA | 374 | $45,165.80 | $37,402.55 |
| RI | 18 | $56,164.94 | $46,289.22 |
| SC | 238 | $38,411.82 | $31,769.40 |
| SD | 78 | $36,268.50 | $32,700.71 |
| TN | 310 | $35,323.05 | $28,977.45 |
| TX | 805 | $40,455.57 | $33,932.47 |
| UT | 86 | $39,838.25 | $35,557.45 |
| VA | 254 | $45,693.67 | $33,612.51 |
| VT | 21 | $35,424.48 | $27,204.14 |
| WA | 202 | $56,035.82 | $44,635.13 |
| WI | 141 | $42,756.63 | $34,438.75 |
| WV | 86 | $39,753.75 | $32,787.40 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 4.4818 | 6.3 | Yes |
| 2024-10-01 | 4.6092 | 6.8 | Yes |
| 2023-10-01 | 4.7136 | 7.5 | Yes |
| 2022-10-01 | 4.8437 | 8.1 | Yes |
| 2021-10-01 | 5.0068 | 9.2 | Yes |
| 2020-10-01 | 4.9611 | 9.1 | Yes |
| 2019-10-01 | 4.8737 | 9.3 | Yes |
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