MS-DRG 207
RESPIRATORY SYSTEM DIAGNOS
Relative Weight
6.4347
Geometric Mean LOS
12.5 Days
Arithmetic Mean LOS
15.1 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 4,401 | $303,298.40 | $64,183.28 | $56,507.61 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 95 | $53,449.65 | $46,957.49 |
| AR | 53 | $46,915.42 | $42,516.78 |
| AZ | 12 | $42,456.67 | $41,025.92 |
| CA | 600 | $72,873.24 | $67,680.29 |
| CO | 14 | $51,424.43 | $50,355.36 |
| CT | 49 | $82,692.01 | $69,276.58 |
| DC | 27 | $68,023.52 | $52,272.96 |
| DE | 31 | $57,348.49 | $43,948.92 |
| FL | 273 | $47,783.43 | $45,267.92 |
| GA | 116 | $64,171.30 | $49,810.07 |
| HI | 15 | $69,038.00 | $64,180.07 |
| IA | 26 | $58,888.97 | $53,959.16 |
| IL | 194 | $65,610.53 | $55,162.02 |
| IN | 104 | $49,529.66 | $46,243.75 |
| KS | 12 | $60,127.83 | $35,786.67 |
| KY | 61 | $50,846.61 | $41,947.46 |
| LA | 37 | $39,707.16 | $38,282.32 |
| MA | 139 | $81,444.76 | $72,118.06 |
| MD | 95 | $79,025.97 | $75,735.82 |
| ME | 15 | $78,631.00 | $59,325.67 |
| MI | 120 | $63,018.86 | $50,575.53 |
| MN | 57 | $82,738.93 | $65,381.02 |
| MO | 78 | $59,369.04 | $50,589.24 |
| MS | 96 | $43,341.46 | $41,631.06 |
| NC | 139 | $58,990.96 | $50,837.22 |
| ND | 12 | $45,194.67 | $42,814.58 |
| NH | 11 | $65,157.82 | $57,474.09 |
| NJ | 154 | $65,378.22 | $61,193.14 |
| NV | 73 | $60,359.90 | $52,284.47 |
| NY | 533 | $81,839.25 | $72,630.77 |
| OH | 134 | $52,076.93 | $44,949.80 |
| OK | 92 | $53,440.19 | $44,932.52 |
| OR | 12 | $58,220.67 | $47,825.42 |
| PA | 230 | $72,624.34 | $63,533.10 |
| SC | 71 | $50,304.32 | $44,277.77 |
| SD | 11 | $65,304.00 | $59,388.09 |
| TN | 62 | $57,801.69 | $46,930.70 |
| TX | 329 | $51,260.73 | $45,004.09 |
| VA | 85 | $76,104.46 | $60,336.15 |
| WA | 63 | $54,700.66 | $51,369.45 |
| WI | 33 | $73,246.77 | $58,849.80 |
| WV | 38 | $58,387.92 | $46,598.97 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 6.4347 | 12.5 | Yes |
| 2024-10-01 | 6.4672 | 12.8 | Yes |
| 2023-10-01 | 6.9080 | 14.8 | Yes |
| 2022-10-01 | 6.5659 | 13.8 | Yes |
| 2021-10-01 | 5.7361 | 11.9 | Yes |
| 2020-10-01 | 5.7264 | 11.9 | Yes |
| 2019-10-01 | 5.7356 | 12.0 | Yes |
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