MS-DRG 196
INTERSTITIAL LUNG DISEASE
Relative Weight
1.8872
Geometric Mean LOS
4.8 Days
Arithmetic Mean LOS
6.5 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 3,667 | $95,638.61 | $19,714.54 | $15,869.95 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 13 | $17,796.62 | $16,706.54 |
| AL | 73 | $21,023.00 | $15,149.77 |
| AR | 11 | $12,681.00 | $11,487.73 |
| AZ | 75 | $16,355.54 | $13,089.17 |
| CA | 336 | $30,797.02 | $25,369.78 |
| CO | 59 | $17,616.29 | $14,873.85 |
| CT | 46 | $21,170.26 | $16,798.54 |
| DE | 40 | $17,374.73 | $15,452.63 |
| FL | 285 | $15,840.55 | $13,003.30 |
| GA | 64 | $16,359.62 | $13,703.05 |
| IA | 11 | $12,258.82 | $11,151.82 |
| IL | 198 | $20,713.86 | $16,348.28 |
| IN | 14 | $18,870.00 | $9,544.86 |
| KS | 42 | $15,881.39 | $13,757.99 |
| KY | 17 | $12,367.29 | $10,868.00 |
| LA | 37 | $13,176.61 | $11,643.17 |
| MA | 228 | $19,511.22 | $16,449.92 |
| MD | 74 | $23,762.03 | $21,479.71 |
| MI | 62 | $19,275.72 | $15,287.72 |
| MN | 54 | $23,933.98 | $17,336.57 |
| MO | 79 | $20,781.79 | $13,582.60 |
| MS | 48 | $12,754.63 | $10,499.31 |
| MT | 11 | $15,158.73 | $14,242.55 |
| NC | 74 | $18,409.29 | $14,511.69 |
| ND | 14 | $16,936.43 | $14,882.50 |
| NE | 41 | $18,594.44 | $13,149.43 |
| NH | 36 | $20,781.87 | $18,652.25 |
| NJ | 256 | $17,190.65 | $14,888.09 |
| NM | 13 | $13,797.92 | $12,131.23 |
| NV | 34 | $17,083.22 | $15,115.13 |
| NY | 364 | $23,137.01 | $18,881.34 |
| OH | 57 | $22,483.15 | $12,768.93 |
| OK | 26 | $17,274.54 | $14,497.58 |
| OR | 24 | $18,501.59 | $16,063.25 |
| PA | 144 | $18,030.23 | $14,272.19 |
| SC | 35 | $18,141.96 | $14,316.91 |
| SD | 31 | $16,719.88 | $15,116.67 |
| TN | 101 | $17,001.47 | $11,824.69 |
| TX | 239 | $16,686.88 | $13,756.17 |
| VA | 182 | $16,002.77 | $13,034.86 |
| VT | 13 | $16,562.85 | $12,764.69 |
| WA | 45 | $20,134.32 | $14,964.92 |
| WI | 61 | $26,549.42 | $15,579.50 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.8872 | 4.8 | Yes |
| 2024-10-01 | 1.8841 | 4.9 | Yes |
| 2023-10-01 | 1.8954 | 5.2 | Yes |
| 2022-10-01 | 1.7377 | 5.0 | Yes |
| 2021-10-01 | 1.7386 | 4.8 | Yes |
| 2020-10-01 | 1.7361 | 4.8 | Yes |
| 2019-10-01 | 1.6754 | 4.8 | Yes |
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