MS-DRG 220
CARDIAC VALVE AND OTHER MA
Relative Weight
5.3328
Geometric Mean LOS
5.4 Days
Arithmetic Mean LOS
6.1 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 8,116 | $271,588.43 | $53,368.72 | $42,304.63 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 18 | $51,734.33 | $43,702.83 |
| AL | 159 | $44,431.25 | $31,851.49 |
| AR | 95 | $40,839.23 | $30,093.94 |
| AZ | 266 | $46,514.46 | $38,595.96 |
| CA | 554 | $81,881.14 | $56,398.74 |
| CO | 89 | $48,978.67 | $43,831.34 |
| CT | 104 | $64,889.56 | $45,736.37 |
| DC | 48 | $63,586.92 | $44,475.06 |
| DE | 25 | $49,500.84 | $41,624.36 |
| FL | 498 | $44,360.65 | $39,517.12 |
| GA | 196 | $53,117.31 | $40,195.22 |
| HI | 13 | $56,725.38 | $44,946.23 |
| IA | 41 | $35,901.04 | $33,174.75 |
| ID | 55 | $47,542.91 | $42,068.26 |
| IL | 191 | $57,539.77 | $43,169.22 |
| IN | 178 | $46,589.51 | $37,598.25 |
| KS | 36 | $37,459.53 | $33,803.44 |
| KY | 105 | $47,701.09 | $36,608.89 |
| LA | 122 | $40,736.54 | $35,074.86 |
| MA | 186 | $60,952.83 | $50,180.75 |
| MD | 290 | $86,830.30 | $78,161.52 |
| ME | 50 | $65,221.16 | $32,702.92 |
| MI | 279 | $53,217.66 | $41,429.90 |
| MN | 247 | $49,630.22 | $41,409.20 |
| MO | 245 | $43,309.95 | $34,086.82 |
| MS | 63 | $36,658.09 | $33,540.23 |
| MT | 63 | $40,821.65 | $37,922.74 |
| NC | 334 | $48,649.91 | $40,391.82 |
| ND | 40 | $43,848.66 | $33,163.79 |
| NE | 73 | $42,749.27 | $36,608.23 |
| NH | 51 | $52,374.54 | $40,948.21 |
| NJ | 288 | $54,799.54 | $45,084.60 |
| NV | 22 | $52,000.50 | $38,762.73 |
| NY | 309 | $65,736.54 | $49,141.39 |
| OH | 447 | $51,451.43 | $38,494.52 |
| OK | 50 | $44,206.22 | $31,532.05 |
| OR | 125 | $56,042.74 | $47,117.16 |
| PA | 465 | $51,345.19 | $42,143.31 |
| RI | 15 | $69,059.40 | $40,724.87 |
| SC | 153 | $46,971.85 | $40,205.54 |
| SD | 44 | $40,399.02 | $35,675.38 |
| TN | 192 | $43,709.71 | $34,869.06 |
| TX | 440 | $46,808.04 | $37,611.66 |
| UT | 83 | $50,185.97 | $39,814.90 |
| VA | 236 | $52,631.99 | $44,945.05 |
| VT | 11 | $47,630.09 | $31,250.18 |
| WA | 286 | $56,995.84 | $43,482.45 |
| WI | 189 | $46,184.15 | $36,330.23 |
| WV | 47 | $48,936.69 | $39,403.89 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 5.3328 | 5.4 | Yes |
| 2024-10-01 | 5.2967 | 5.6 | Yes |
| 2023-10-01 | 5.2446 | 5.7 | Yes |
| 2022-10-01 | 5.4351 | 5.8 | Yes |
| 2021-10-01 | 5.4053 | 5.9 | Yes |
| 2020-10-01 | 5.3999 | 5.9 | Yes |
| 2019-10-01 | 5.3059 | 6.0 | Yes |
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