MS-DRG 165
MAJOR CHEST PROCEDURES WIT
Relative Weight
1.9142
Geometric Mean LOS
2.0 Days
Arithmetic Mean LOS
2.4 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 4,444 | $95,575.91 | $19,110.03 | $14,515.96 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 69 | $14,115.12 | $10,576.39 |
| AZ | 101 | $17,765.56 | $13,418.81 |
| CA | 268 | $25,318.69 | $21,120.47 |
| CO | 50 | $17,314.71 | $13,148.60 |
| CT | 31 | $24,785.37 | $17,080.34 |
| DC | 48 | $20,241.93 | $15,136.71 |
| DE | 29 | $18,734.09 | $15,318.09 |
| FL | 225 | $16,867.59 | $11,987.21 |
| GA | 97 | $18,471.27 | $14,544.93 |
| HI | 21 | $29,707.76 | $11,420.76 |
| IA | 35 | $16,313.94 | $12,260.47 |
| ID | 18 | $16,676.06 | $15,032.67 |
| IL | 312 | $20,166.34 | $14,686.86 |
| IN | 90 | $17,930.17 | $14,609.01 |
| KS | 41 | $15,843.83 | $13,024.90 |
| KY | 66 | $14,409.44 | $10,870.28 |
| LA | 48 | $16,502.58 | $13,803.48 |
| MA | 283 | $20,602.72 | $16,795.24 |
| MD | 109 | $24,623.63 | $19,881.06 |
| MI | 124 | $18,733.88 | $13,500.32 |
| MN | 85 | $20,008.35 | $14,124.70 |
| MO | 40 | $20,337.13 | $12,744.19 |
| MS | 11 | $19,189.73 | $15,050.00 |
| MT | 26 | $15,377.38 | $12,377.77 |
| NC | 199 | $18,390.24 | $13,686.38 |
| NH | 35 | $21,546.83 | $17,021.83 |
| NJ | 230 | $18,703.83 | $15,334.29 |
| NY | 408 | $22,069.70 | $16,900.60 |
| OH | 126 | $19,890.40 | $12,523.36 |
| OK | 44 | $15,931.06 | $12,895.73 |
| OR | 92 | $19,876.87 | $16,072.23 |
| PA | 270 | $18,380.55 | $14,006.77 |
| RI | 23 | $22,840.74 | $14,602.09 |
| SC | 110 | $18,140.74 | $12,392.09 |
| SD | 12 | $12,956.33 | $11,324.33 |
| TN | 149 | $15,356.91 | $12,041.23 |
| TX | 111 | $16,948.68 | $13,540.83 |
| UT | 34 | $19,142.86 | $14,785.71 |
| VA | 159 | $17,697.69 | $13,217.36 |
| VT | 14 | $13,875.29 | $8,799.43 |
| WA | 141 | $18,457.25 | $13,660.51 |
| WI | 26 | $17,108.11 | $11,445.44 |
| WV | 34 | $18,904.42 | $11,405.72 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.9142 | 2.0 | Yes |
| 2024-10-01 | 1.8640 | 2.1 | Yes |
| 2023-10-01 | 1.8764 | 2.2 | Yes |
| 2022-10-01 | 1.9269 | 2.3 | Yes |
| 2021-10-01 | 1.9166 | 2.6 | Yes |
| 2020-10-01 | 1.9136 | 2.6 | Yes |
| 2019-10-01 | 1.8492 | 2.7 | Yes |
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