MS-DRG 189
PULMONARY EDEMA AND RESPIR
Relative Weight
1.2354
Geometric Mean LOS
3.5 Days
Arithmetic Mean LOS
4.7 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 89,991 | $57,652.28 | $12,025.71 | $9,884.41 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 317 | $17,428.84 | $15,497.17 |
| AL | 1,022 | $9,761.28 | $7,781.95 |
| AR | 1,270 | $9,252.93 | $7,700.12 |
| AZ | 1,401 | $11,996.84 | $10,221.63 |
| CA | 7,155 | $15,932.27 | $13,021.78 |
| CO | 997 | $11,174.40 | $9,080.99 |
| CT | 985 | $13,602.54 | $11,180.53 |
| DC | 170 | $15,922.33 | $12,060.86 |
| DE | 438 | $11,728.57 | $9,450.98 |
| FL | 5,587 | $10,533.97 | $8,844.06 |
| GA | 2,326 | $11,635.08 | $9,323.89 |
| HI | 160 | $16,299.13 | $11,685.80 |
| IA | 1,215 | $9,900.34 | $8,300.95 |
| ID | 474 | $10,705.50 | $9,023.20 |
| IL | 4,161 | $11,899.42 | $9,666.98 |
| IN | 2,399 | $10,507.21 | $8,799.44 |
| KS | 1,060 | $9,984.21 | $8,477.85 |
| KY | 1,753 | $9,531.73 | $7,926.61 |
| LA | 1,125 | $9,621.14 | $7,980.83 |
| MA | 2,444 | $12,694.69 | $10,705.35 |
| MD | 4,086 | $26,719.50 | $24,373.64 |
| ME | 289 | $12,820.95 | $9,933.06 |
| MI | 2,978 | $11,061.13 | $8,917.45 |
| MN | 1,357 | $11,670.90 | $9,779.65 |
| MO | 1,778 | $10,411.63 | $8,585.24 |
| MS | 1,166 | $9,458.26 | $7,926.03 |
| MT | 250 | $9,967.48 | $8,434.86 |
| NC | 2,238 | $10,882.93 | $8,868.21 |
| ND | 339 | $11,902.39 | $10,226.71 |
| NE | 689 | $10,696.43 | $8,263.77 |
| NH | 475 | $11,281.73 | $8,946.41 |
| NJ | 2,268 | $12,804.30 | $10,533.32 |
| NM | 441 | $12,285.10 | $10,749.58 |
| NV | 1,006 | $11,698.43 | $9,887.76 |
| NY | 4,957 | $14,749.49 | $11,746.66 |
| OH | 3,385 | $10,357.75 | $8,345.05 |
| OK | 1,541 | $10,255.56 | $8,828.86 |
| OR | 782 | $12,512.03 | $10,636.22 |
| PA | 4,123 | $10,812.30 | $8,611.25 |
| RI | 200 | $12,526.45 | $9,668.51 |
| SC | 1,882 | $10,552.47 | $8,371.82 |
| SD | 502 | $11,136.24 | $9,278.36 |
| TN | 1,926 | $9,893.54 | $7,831.61 |
| TX | 7,359 | $12,355.33 | $10,516.96 |
| UT | 414 | $11,550.07 | $8,962.44 |
| VA | 2,193 | $10,638.42 | $8,241.51 |
| VT | 424 | $8,516.81 | $6,627.07 |
| WA | 1,919 | $11,909.09 | $9,449.06 |
| WI | 1,552 | $10,348.91 | $8,251.68 |
| WV | 914 | $10,168.09 | $7,534.41 |
| WY | 99 | $14,233.29 | $12,543.31 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.2354 | 3.5 | No |
| 2024-10-01 | 1.2374 | 3.5 | No |
| 2023-10-01 | 1.2320 | 3.6 | No |
| 2022-10-01 | 1.2070 | 3.5 | No |
| 2021-10-01 | 1.2261 | 3.6 | No |
| 2020-10-01 | 1.2248 | 3.6 | No |
| 2019-10-01 | 1.2157 | 3.6 | No |
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