MS-DRG 164
MAJOR CHEST PROCEDURES WIT
Relative Weight
2.5240
Geometric Mean LOS
3.4 Days
Arithmetic Mean LOS
4.3 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 11,919 | $124,573.55 | $24,132.12 | $19,472.17 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 13 | $23,857.08 | $22,194.00 |
| AL | 126 | $19,763.62 | $15,072.36 |
| AR | 93 | $19,134.26 | $16,163.93 |
| AZ | 277 | $22,486.18 | $19,577.66 |
| CA | 872 | $30,580.88 | $26,604.48 |
| CO | 209 | $22,506.19 | $18,157.42 |
| CT | 122 | $29,829.69 | $22,261.52 |
| DC | 97 | $26,661.31 | $22,320.04 |
| DE | 79 | $23,284.51 | $19,891.55 |
| FL | 780 | $20,170.52 | $16,978.83 |
| GA | 310 | $22,651.98 | $18,090.39 |
| HI | 23 | $32,526.13 | $20,709.26 |
| IA | 69 | $19,437.38 | $16,810.01 |
| ID | 48 | $24,834.22 | $20,622.43 |
| IL | 505 | $25,902.27 | $19,180.64 |
| IN | 190 | $21,574.53 | $16,817.48 |
| KS | 135 | $19,795.24 | $16,994.21 |
| KY | 228 | $20,783.17 | $15,135.55 |
| LA | 92 | $20,500.35 | $15,885.99 |
| MA | 680 | $26,679.80 | $22,355.69 |
| MD | 304 | $36,828.65 | $32,337.25 |
| ME | 54 | $26,131.17 | $16,021.66 |
| MI | 269 | $24,318.04 | $18,472.53 |
| MN | 306 | $22,835.94 | $18,274.86 |
| MO | 256 | $21,024.33 | $17,081.06 |
| MS | 70 | $18,689.88 | $16,575.70 |
| MT | 53 | $20,801.84 | $17,840.64 |
| NC | 487 | $22,847.63 | $17,761.89 |
| ND | 30 | $22,555.26 | $15,896.71 |
| NE | 167 | $22,276.06 | $18,794.07 |
| NH | 82 | $30,094.04 | $20,450.33 |
| NJ | 495 | $25,271.35 | $20,938.35 |
| NM | 13 | $19,794.31 | $14,648.31 |
| NV | 27 | $25,523.16 | $18,021.69 |
| NY | 917 | $28,364.87 | $23,525.12 |
| OH | 343 | $24,382.36 | $16,497.79 |
| OK | 105 | $21,594.28 | $16,324.70 |
| OR | 159 | $26,311.80 | $22,318.17 |
| PA | 594 | $23,702.50 | $19,346.89 |
| RI | 39 | $27,299.87 | $23,765.36 |
| SC | 265 | $21,748.24 | $17,419.43 |
| SD | 61 | $22,337.11 | $18,370.65 |
| TN | 299 | $19,524.66 | $15,918.72 |
| TX | 509 | $20,931.68 | $16,783.82 |
| UT | 61 | $23,800.87 | $18,784.13 |
| VA | 435 | $22,407.05 | $17,234.00 |
| VT | 21 | $16,177.24 | $11,203.19 |
| WA | 296 | $25,913.91 | $19,577.00 |
| WI | 171 | $23,507.17 | $17,910.64 |
| WV | 83 | $22,374.99 | $15,678.62 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.5240 | 3.4 | Yes |
| 2024-10-01 | 2.5170 | 3.5 | Yes |
| 2023-10-01 | 2.5504 | 3.7 | Yes |
| 2022-10-01 | 2.5827 | 3.9 | Yes |
| 2021-10-01 | 2.6556 | 4.4 | Yes |
| 2020-10-01 | 2.6392 | 4.4 | Yes |
| 2019-10-01 | 2.5316 | 4.5 | Yes |
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