MS-DRG 206
OTHER RESPIRATORY SYSTEM D
Relative Weight
0.9411
Geometric Mean LOS
2.4 Days
Arithmetic Mean LOS
3.1 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 1,679 | $61,383.56 | $10,826.70 | $7,782.10 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 16 | $6,993.25 | $5,882.88 |
| AZ | 13 | $15,782.38 | $7,008.23 |
| CA | 323 | $11,654.14 | $9,094.95 |
| CT | 15 | $12,148.53 | $9,270.27 |
| DE | 23 | $8,426.87 | $6,957.30 |
| FL | 215 | $8,457.14 | $5,790.32 |
| IL | 32 | $9,163.64 | $7,004.21 |
| IN | 28 | $12,466.92 | $9,557.48 |
| KS | 12 | $8,349.75 | $5,916.33 |
| LA | 11 | $7,262.73 | $3,940.91 |
| MA | 133 | $9,567.28 | $7,613.48 |
| MD | 40 | $15,716.85 | $12,922.77 |
| MI | 23 | $11,866.44 | $6,830.09 |
| MN | 26 | $13,120.38 | $6,737.44 |
| MO | 26 | $16,797.69 | $7,456.81 |
| NC | 87 | $11,680.35 | $7,784.11 |
| NE | 18 | $10,984.78 | $7,905.83 |
| NJ | 40 | $9,181.21 | $7,735.89 |
| NV | 12 | $8,161.17 | $6,639.08 |
| NY | 195 | $12,831.80 | $9,660.87 |
| OH | 25 | $10,082.01 | $7,851.36 |
| OK | 13 | $8,003.15 | $6,173.15 |
| PA | 134 | $9,631.30 | $7,013.61 |
| RI | 11 | $10,675.00 | $8,460.09 |
| SC | 18 | $12,291.72 | $7,271.72 |
| TN | 31 | $11,077.73 | $6,063.63 |
| TX | 91 | $13,956.12 | $10,149.30 |
| VA | 20 | $11,959.05 | $5,546.80 |
| WA | 18 | $11,237.11 | $6,787.72 |
| WI | 19 | $12,429.53 | $7,122.16 |
| WV | 11 | $6,051.91 | $4,716.64 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.9411 | 2.4 | Yes |
| 2024-10-01 | 0.9058 | 2.4 | Yes |
| 2023-10-01 | 0.9135 | 2.5 | Yes |
| 2022-10-01 | 0.8934 | 2.4 | Yes |
| 2021-10-01 | 0.8860 | 2.5 | Yes |
| 2020-10-01 | 0.8842 | 2.5 | Yes |
| 2019-10-01 | 0.8725 | 2.4 | Yes |
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