MS-DRG 217
CARDIAC VALVE AND OTHER MA
Relative Weight
6.5753
Geometric Mean LOS
4.3 Days
Arithmetic Mean LOS
6.2 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 344 | $280,529.77 | $69,679.73 | $53,296.51 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 12 | $54,698.75 | $49,920.00 |
| DC | 23 | $69,236.22 | $60,630.22 |
| FL | 11 | $85,771.64 | $38,404.27 |
| MA | 14 | $80,690.07 | $67,002.57 |
| MD | 13 | $92,475.85 | $81,663.46 |
| MN | 32 | $85,454.50 | $60,686.03 |
| NC | 28 | $61,834.74 | $45,209.67 |
| NJ | 52 | $82,142.69 | $45,906.27 |
| NM | 24 | $44,158.21 | $42,688.30 |
| NY | 21 | $93,461.81 | $77,491.38 |
| OH | 97 | $60,675.55 | $50,525.99 |
| TX | 17 | $46,460.24 | $45,515.29 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 6.5753 | 4.3 | Yes |
| 2024-10-01 | 6.4579 | 5.2 | Yes |
| 2023-10-01 | 6.3653 | 5.2 | Yes |
| 2022-10-01 | 6.3488 | 5.5 | Yes |
| 2021-10-01 | 6.4835 | 6.2 | Yes |
| 2020-10-01 | 6.4928 | 8.5 | Yes |
| 2019-10-01 | 6.6516 | 8.5 | Yes |
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