MS-DRG 219
CARDIAC VALVE AND OTHER MA
Relative Weight
7.6783
Geometric Mean LOS
8.2 Days
Arithmetic Mean LOS
10.0 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 12,333 | $392,250.56 | $78,384.72 | $65,868.88 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 131 | $73,218.02 | $61,495.48 |
| AR | 139 | $63,249.07 | $54,789.01 |
| AZ | 247 | $74,047.84 | $66,866.19 |
| CA | 1,058 | $103,328.02 | $90,168.11 |
| CO | 201 | $66,206.94 | $63,515.90 |
| CT | 172 | $83,543.12 | $70,044.48 |
| DC | 131 | $94,090.53 | $74,401.33 |
| DE | 26 | $100,475.62 | $86,191.27 |
| FL | 694 | $65,173.49 | $57,399.99 |
| GA | 274 | $88,054.60 | $61,611.57 |
| HI | 32 | $93,762.61 | $72,868.65 |
| IA | 140 | $62,783.52 | $57,705.23 |
| ID | 42 | $71,998.85 | $62,792.49 |
| IL | 546 | $86,728.12 | $61,347.10 |
| IN | 209 | $67,341.62 | $62,931.69 |
| KS | 123 | $64,885.51 | $57,935.92 |
| KY | 130 | $70,307.55 | $53,550.64 |
| LA | 23 | $62,724.00 | $55,764.27 |
| MA | 662 | $89,940.38 | $78,427.16 |
| MD | 136 | $125,841.17 | $113,197.82 |
| ME | 53 | $70,259.31 | $56,818.40 |
| MI | 265 | $77,582.60 | $63,803.88 |
| MN | 432 | $72,909.44 | $62,939.73 |
| MO | 301 | $68,983.11 | $59,491.17 |
| MS | 60 | $62,467.36 | $56,209.54 |
| MT | 76 | $63,993.10 | $60,901.85 |
| NC | 287 | $73,805.55 | $59,069.30 |
| ND | 35 | $68,866.97 | $54,928.61 |
| NE | 117 | $63,725.36 | $55,776.08 |
| NH | 75 | $74,508.84 | $67,471.23 |
| NJ | 317 | $82,958.00 | $68,653.15 |
| NM | 24 | $80,085.70 | $67,188.49 |
| NV | 70 | $71,291.81 | $66,027.58 |
| NY | 866 | $89,651.34 | $77,303.13 |
| OH | 789 | $73,329.12 | $53,493.91 |
| OK | 104 | $60,548.93 | $50,769.80 |
| OR | 191 | $90,366.57 | $72,423.86 |
| PA | 742 | $77,271.42 | $64,507.01 |
| RI | 32 | $84,304.94 | $69,187.41 |
| SC | 122 | $72,855.62 | $64,800.46 |
| SD | 34 | $54,686.04 | $50,769.65 |
| TN | 247 | $65,080.82 | $55,471.11 |
| TX | 949 | $69,944.54 | $59,988.21 |
| UT | 61 | $86,695.31 | $72,223.03 |
| VA | 392 | $87,489.78 | $69,350.32 |
| VT | 22 | $82,033.91 | $47,791.64 |
| WA | 263 | $84,535.28 | $70,292.47 |
| WI | 235 | $71,085.31 | $59,914.61 |
| WV | 56 | $86,436.14 | $56,659.83 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 7.6783 | 8.2 | Yes |
| 2024-10-01 | 7.7375 | 8.5 | Yes |
| 2023-10-01 | 7.7112 | 8.7 | Yes |
| 2022-10-01 | 8.1283 | 8.9 | Yes |
| 2021-10-01 | 8.0576 | 8.9 | Yes |
| 2020-10-01 | 8.0551 | 8.9 | Yes |
| 2019-10-01 | 7.8401 | 9.0 | Yes |
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