MS-DRG 178
RESPIRATORY INFECTIONS AND
Relative Weight
0.9760
Geometric Mean LOS
3.1 Days
Arithmetic Mean LOS
3.9 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 26,447 | $44,356.34 | $9,313.25 | $7,200.15 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 11 | $9,675.09 | $8,016.82 |
| AL | 386 | $8,124.99 | $5,872.58 |
| AR | 234 | $7,283.23 | $5,865.50 |
| AZ | 413 | $8,153.19 | $6,355.56 |
| CA | 1,717 | $11,872.68 | $9,551.20 |
| CO | 163 | $8,889.78 | $6,516.24 |
| CT | 350 | $10,745.58 | $8,323.98 |
| DC | 56 | $11,663.91 | $7,712.04 |
| DE | 213 | $8,842.07 | $7,000.33 |
| FL | 2,496 | $8,519.48 | $6,787.29 |
| GA | 509 | $9,421.09 | $7,111.03 |
| HI | 34 | $11,973.91 | $8,663.15 |
| IA | 223 | $7,323.34 | $5,784.48 |
| ID | 62 | $8,182.28 | $6,174.59 |
| IL | 1,592 | $8,858.56 | $6,752.10 |
| IN | 530 | $8,145.66 | $6,501.92 |
| KS | 187 | $8,364.29 | $5,952.35 |
| KY | 364 | $7,476.81 | $5,799.40 |
| LA | 298 | $7,268.02 | $5,626.45 |
| MA | 1,682 | $9,723.68 | $7,788.81 |
| MD | 1,028 | $14,007.45 | $12,198.83 |
| ME | 74 | $10,028.21 | $6,795.08 |
| MI | 662 | $8,847.34 | $6,584.07 |
| MN | 468 | $9,003.31 | $6,871.79 |
| MO | 705 | $8,002.94 | $6,258.74 |
| MS | 204 | $7,615.47 | $6,064.00 |
| MT | 42 | $7,796.76 | $6,229.38 |
| NC | 1,082 | $9,079.21 | $6,841.71 |
| ND | 94 | $9,192.90 | $6,593.67 |
| NE | 199 | $9,264.03 | $6,569.39 |
| NH | 162 | $8,650.85 | $6,750.48 |
| NJ | 1,267 | $9,777.72 | $7,571.41 |
| NM | 39 | $10,533.10 | $7,953.50 |
| NV | 59 | $9,866.28 | $8,028.38 |
| NY | 2,088 | $11,287.28 | $8,727.08 |
| OH | 1,002 | $8,400.43 | $6,180.04 |
| OK | 373 | $8,094.89 | $6,375.67 |
| OR | 131 | $10,214.21 | $7,870.27 |
| PA | 1,603 | $8,624.97 | $6,453.10 |
| RI | 137 | $10,098.06 | $7,011.19 |
| SC | 501 | $8,399.85 | $6,389.47 |
| SD | 66 | $8,768.25 | $7,028.60 |
| TN | 331 | $8,400.20 | $5,990.63 |
| TX | 1,059 | $9,050.73 | $6,955.42 |
| UT | 37 | $11,847.70 | $8,867.47 |
| VA | 609 | $8,776.53 | $6,449.37 |
| VT | 44 | $7,354.49 | $5,628.14 |
| WA | 277 | $9,703.08 | $7,001.61 |
| WI | 313 | $8,685.24 | $6,297.00 |
| WV | 210 | $7,980.47 | $5,962.78 |
| WY | 61 | $11,014.82 | $9,701.73 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.9760 | 3.1 | Yes |
| 2024-10-01 | 0.9921 | 3.2 | Yes |
| 2023-10-01 | 0.9867 | 3.3 | Yes |
| 2022-10-01 | 1.0870 | 3.6 | Yes |
| 2021-10-01 | 1.2078 | 4.0 | Yes |
| 2020-10-01 | 1.2059 | 4.0 | Yes |
| 2019-10-01 | 1.2433 | 4.2 | Yes |
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