MS-DRG 175
PULMONARY EMBOLISM WITH MC
Relative Weight
1.3736
Geometric Mean LOS
3.8 Days
Arithmetic Mean LOS
4.9 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 21,716 | $65,701.86 | $13,138.73 | $10,630.26 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 36 | $17,907.51 | $15,643.21 |
| AL | 199 | $11,361.70 | $8,582.51 |
| AR | 143 | $10,302.10 | $8,885.62 |
| AZ | 578 | $12,679.69 | $10,594.95 |
| CA | 1,511 | $16,702.24 | $14,258.48 |
| CO | 473 | $12,335.16 | $9,860.32 |
| CT | 286 | $15,960.90 | $12,766.82 |
| DC | 69 | $16,254.84 | $12,049.34 |
| DE | 178 | $13,945.14 | $11,338.66 |
| FL | 1,419 | $11,465.87 | $9,685.98 |
| GA | 708 | $13,369.95 | $10,361.68 |
| HI | 18 | $16,034.67 | $12,407.67 |
| IA | 270 | $10,750.27 | $8,609.26 |
| ID | 158 | $11,600.39 | $9,541.86 |
| IL | 1,135 | $13,301.61 | $10,113.08 |
| IN | 446 | $11,431.70 | $9,650.80 |
| KS | 216 | $11,422.91 | $9,056.69 |
| KY | 311 | $10,716.57 | $8,722.70 |
| LA | 187 | $10,700.85 | $8,382.84 |
| MA | 849 | $13,835.64 | $11,541.72 |
| MD | 791 | $18,326.78 | $16,654.68 |
| ME | 57 | $15,699.80 | $10,776.99 |
| MI | 571 | $12,706.59 | $10,076.65 |
| MN | 308 | $12,645.25 | $9,986.08 |
| MO | 346 | $12,049.44 | $9,677.30 |
| MS | 244 | $10,725.67 | $8,658.48 |
| MT | 149 | $11,343.20 | $9,871.74 |
| NC | 758 | $12,345.07 | $9,806.07 |
| ND | 100 | $11,153.39 | $9,642.51 |
| NE | 156 | $13,415.14 | $10,410.87 |
| NH | 165 | $12,351.12 | $10,522.35 |
| NJ | 673 | $13,753.64 | $11,333.41 |
| NM | 156 | $13,716.41 | $11,125.28 |
| NV | 272 | $13,022.94 | $10,898.88 |
| NY | 1,263 | $16,598.88 | $12,751.98 |
| OH | 910 | $11,724.29 | $9,139.76 |
| OK | 235 | $11,386.36 | $9,095.26 |
| OR | 144 | $14,071.22 | $11,626.86 |
| PA | 954 | $12,825.29 | $10,094.72 |
| RI | 60 | $13,043.43 | $11,007.60 |
| SC | 385 | $12,138.14 | $9,311.95 |
| SD | 102 | $12,300.81 | $9,270.01 |
| TN | 500 | $11,182.51 | $8,771.26 |
| TX | 1,143 | $12,093.27 | $9,789.16 |
| UT | 190 | $12,434.94 | $9,491.58 |
| VA | 889 | $12,075.42 | $9,259.38 |
| VT | 59 | $11,224.40 | $7,585.06 |
| WA | 379 | $13,019.38 | $10,223.55 |
| WI | 312 | $12,898.28 | $9,694.91 |
| WV | 202 | $10,916.09 | $8,645.49 |
| WY | 53 | $15,679.47 | $13,591.75 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.3736 | 3.8 | Yes |
| 2024-10-01 | 1.4091 | 3.8 | Yes |
| 2023-10-01 | 1.4030 | 4.0 | Yes |
| 2022-10-01 | 1.3968 | 3.9 | Yes |
| 2021-10-01 | 1.5460 | 4.1 | Yes |
| 2020-10-01 | 1.5442 | 4.1 | Yes |
| 2019-10-01 | 1.4444 | 4.1 | Yes |
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