MS-DRG 199
PNEUMOTHORAX WITH MCC
Relative Weight
1.7641
Geometric Mean LOS
4.8 Days
Arithmetic Mean LOS
6.3 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 1,183 | $90,490.84 | $18,167.21 | $14,057.60 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AR | 27 | $12,687.45 | $11,120.07 |
| AZ | 23 | $13,161.76 | $11,928.52 |
| CA | 73 | $21,325.01 | $17,090.02 |
| DE | 27 | $17,459.44 | $12,855.23 |
| FL | 126 | $14,899.82 | $12,208.79 |
| GA | 25 | $18,152.76 | $13,990.09 |
| IA | 22 | $16,853.55 | $12,098.55 |
| ID | 11 | $13,718.09 | $12,207.55 |
| IL | 33 | $23,718.00 | $12,275.53 |
| IN | 51 | $18,192.24 | $13,996.85 |
| KS | 57 | $15,757.05 | $11,634.67 |
| KY | 37 | $14,764.39 | $12,331.82 |
| MA | 100 | $22,059.20 | $17,178.14 |
| MD | 35 | $18,808.80 | $17,203.95 |
| MI | 12 | $19,654.50 | $11,464.17 |
| MN | 36 | $16,955.57 | $13,860.65 |
| MO | 13 | $22,324.08 | $16,974.31 |
| MS | 14 | $12,519.21 | $11,043.14 |
| NC | 24 | $14,656.83 | $11,595.21 |
| ND | 14 | $14,515.07 | $13,290.21 |
| NH | 11 | $14,526.64 | $13,008.18 |
| NJ | 13 | $16,220.54 | $14,457.46 |
| NV | 40 | $18,269.62 | $13,157.23 |
| NY | 70 | $26,615.97 | $18,799.74 |
| OH | 15 | $14,514.73 | $13,174.07 |
| OK | 29 | $14,023.97 | $11,722.21 |
| PA | 48 | $20,047.47 | $14,716.55 |
| RI | 14 | $21,391.50 | $16,397.71 |
| TN | 66 | $17,528.93 | $13,028.32 |
| TX | 70 | $15,861.47 | $13,648.74 |
| VA | 47 | $19,458.41 | $12,903.63 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.7641 | 4.8 | No |
| 2024-10-01 | 1.7653 | 4.9 | No |
| 2023-10-01 | 1.7741 | 5.1 | No |
| 2022-10-01 | 1.7586 | 5.1 | No |
| 2021-10-01 | 1.7900 | 5.1 | No |
| 2020-10-01 | 1.7876 | 5.1 | No |
| 2019-10-01 | 1.7941 | 5.2 | No |
Automate Your DRG Pricing
Bedrock Billing offers the industry's fastest enterprise API for MS-DRG grouping, pricing, and claims analysis.
Try Bedrock Billing for Free