MS-DRG 204
RESPIRATORY SIGNS AND SYMP
Relative Weight
0.8074
Geometric Mean LOS
2.1 Days
Arithmetic Mean LOS
2.7 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 495 | $52,638.83 | $8,249.37 | $6,048.14 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AZ | 12 | $6,016.75 | $4,918.58 |
| CA | 23 | $8,690.01 | $7,168.91 |
| FL | 149 | $7,315.39 | $5,284.30 |
| KY | 12 | $5,369.17 | $4,394.50 |
| MA | 13 | $6,885.77 | $5,630.38 |
| MI | 47 | $7,093.94 | $5,298.49 |
| NC | 12 | $10,095.50 | $5,673.00 |
| NJ | 35 | $7,098.72 | $5,650.50 |
| NY | 128 | $11,496.63 | $8,066.35 |
| PA | 28 | $7,309.91 | $5,758.24 |
| TN | 11 | $6,382.00 | $4,615.18 |
| TX | 25 | $7,826.70 | $5,434.32 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.8074 | 2.1 | No |
| 2024-10-01 | 0.8110 | 2.1 | No |
| 2023-10-01 | 0.8229 | 2.1 | No |
| 2022-10-01 | 0.8094 | 2.1 | No |
| 2021-10-01 | 0.7936 | 2.1 | No |
| 2020-10-01 | 0.7925 | 2.1 | No |
| 2019-10-01 | 0.8125 | 2.2 | No |
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