MS-DRG 167

OTHER RESPIRATORY SYSTEM O

Relative Weight 1.8034

Geometric Mean LOS 3.4 Days

Arithmetic Mean LOS 4.6 Days

National Average Medicare Payments (FY 2024)

Discharges	Avg Submitted Covered Charge	Avg Total Payment	Avg Medicare Payment
965	$103,380.79	$21,044.33	$15,587.32

State	Discharges	Avg Total Payment	Avg Medicare Payment
AL	11	$18,130.82	$13,234.09
AR	15	$12,510.47	$11,021.33
AZ	16	$23,871.06	$13,355.19
CA	99	$25,075.23	$20,176.12
CO	17	$18,838.88	$16,056.41
CT	24	$21,316.93	$18,961.36
DE	18	$19,595.89	$17,118.00
FL	60	$17,419.41	$12,401.83
GA	11	$18,367.18	$13,246.45
IL	42	$22,924.29	$14,388.88
KY	16	$17,279.00	$13,082.00
MA	67	$20,704.82	$17,429.15
MD	27	$28,388.40	$22,293.60
MI	13	$22,319.23	$15,873.54
MN	21	$23,081.52	$17,774.90
MO	30	$19,596.64	$13,019.65
MS	14	$12,120.79	$9,309.57
NC	23	$20,836.74	$15,504.13
NJ	24	$18,607.21	$14,373.21
NY	122	$26,539.55	$20,093.82
OH	26	$20,834.42	$12,270.62
PA	53	$19,817.44	$14,035.42
SC	36	$18,860.20	$13,323.47
TN	26	$17,987.46	$12,046.81
TX	41	$22,925.99	$15,388.65
UT	13	$20,600.08	$17,749.69
VA	59	$20,064.45	$14,044.38
WA	12	$18,885.92	$13,583.67
WI	29	$23,077.66	$13,916.41

Effective Date	Weight	GMLOS	Post Acute Care
2025-10-01	1.8034	3.4	Yes
2024-10-01	1.8272	3.4	Yes
2023-10-01	1.8198	3.5	Yes
2022-10-01	1.9011	3.5	Yes
2021-10-01	1.8187	3.7	Yes
2020-10-01	1.8619	3.7	Yes
2019-10-01	1.9144	3.9	Yes

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