MS-DRG 176
PULMONARY EMBOLISM WITHOUT
Relative Weight
0.8050
Geometric Mean LOS
2.4 Days
Arithmetic Mean LOS
3.0 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 9,457 | $41,219.02 | $8,141.60 | $5,871.60 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 114 | $6,983.04 | $4,985.51 |
| AR | 36 | $5,725.82 | $4,366.69 |
| AZ | 305 | $7,101.53 | $5,218.45 |
| CA | 463 | $10,174.43 | $7,770.15 |
| CO | 55 | $6,697.78 | $4,960.88 |
| CT | 83 | $10,482.83 | $7,087.81 |
| DC | 37 | $9,794.83 | $5,801.97 |
| DE | 113 | $7,865.58 | $5,493.46 |
| FL | 863 | $7,463.74 | $5,675.48 |
| GA | 274 | $9,160.37 | $6,469.83 |
| IA | 57 | $5,990.79 | $4,289.01 |
| ID | 38 | $7,574.31 | $5,451.08 |
| IL | 556 | $8,284.14 | $5,439.97 |
| IN | 198 | $6,880.68 | $5,073.22 |
| KS | 86 | $6,343.99 | $4,581.27 |
| KY | 190 | $6,419.40 | $4,741.82 |
| LA | 75 | $7,425.41 | $5,682.72 |
| MA | 391 | $8,579.08 | $6,337.91 |
| MD | 527 | $11,922.25 | $10,350.83 |
| MI | 206 | $7,974.32 | $5,185.06 |
| MN | 130 | $7,747.15 | $5,511.55 |
| MO | 246 | $6,961.84 | $5,106.24 |
| MS | 62 | $6,436.13 | $4,464.66 |
| MT | 12 | $6,313.58 | $4,974.67 |
| NC | 424 | $8,133.84 | $5,651.89 |
| ND | 31 | $7,136.22 | $5,111.28 |
| NE | 91 | $7,744.77 | $5,085.24 |
| NH | 65 | $7,861.95 | $5,443.52 |
| NJ | 399 | $8,364.28 | $5,829.20 |
| NM | 13 | $10,880.77 | $7,020.85 |
| NV | 63 | $8,262.94 | $6,608.23 |
| NY | 680 | $9,620.34 | $6,960.19 |
| OH | 428 | $7,262.52 | $5,064.42 |
| OK | 52 | $7,927.07 | $6,048.88 |
| PA | 616 | $7,604.10 | $5,387.00 |
| RI | 52 | $9,796.01 | $6,074.88 |
| SC | 198 | $7,322.86 | $5,238.87 |
| SD | 16 | $7,344.56 | $5,485.63 |
| TN | 255 | $7,529.27 | $5,234.49 |
| TX | 341 | $7,949.49 | $5,761.39 |
| UT | 32 | $8,758.94 | $5,811.66 |
| VA | 385 | $7,984.34 | $5,170.26 |
| VT | 22 | $5,383.36 | $3,306.77 |
| WA | 71 | $8,251.72 | $5,494.24 |
| WI | 43 | $7,507.88 | $5,325.93 |
| WV | 63 | $7,317.81 | $4,581.95 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.8050 | 2.4 | Yes |
| 2024-10-01 | 0.8145 | 2.4 | Yes |
| 2023-10-01 | 0.8156 | 2.5 | Yes |
| 2022-10-01 | 0.8176 | 2.5 | Yes |
| 2021-10-01 | 0.8878 | 2.6 | Yes |
| 2020-10-01 | 0.8867 | 2.6 | Yes |
| 2019-10-01 | 0.8484 | 2.6 | Yes |
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