MS-DRG 221
CARDIAC VALVE AND OTHER MA
Relative Weight
5.0402
Geometric Mean LOS
2.9 Days
Arithmetic Mean LOS
3.6 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 175 | $207,807.63 | $41,883.52 | $33,950.98 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AR | 15 | $28,662.00 | $27,030.00 |
| AZ | 12 | $50,263.42 | $21,847.75 |
| FL | 13 | $40,541.54 | $29,703.54 |
| IA | 13 | $32,570.15 | $30,733.54 |
| KY | 23 | $35,868.10 | $28,325.79 |
| MD | 16 | $49,927.38 | $44,843.00 |
| NC | 11 | $46,344.91 | $42,808.00 |
| ND | 12 | $41,070.58 | $28,978.33 |
| NH | 11 | $49,644.55 | $46,612.55 |
| PA | 49 | $45,920.74 | $39,101.74 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 5.0402 | 2.9 | Yes |
| 2024-10-01 | 4.5926 | 3.1 | Yes |
| 2023-10-01 | 4.6486 | 3.3 | Yes |
| 2022-10-01 | 4.7316 | 3.3 | Yes |
| 2021-10-01 | 4.5799 | 3.8 | Yes |
| 2020-10-01 | 4.5523 | 3.9 | Yes |
| 2019-10-01 | 4.5962 | 4.1 | Yes |
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