MS-DRG 242
PERMANENT CARDIAC PACEMAKE
Relative Weight
3.1928
Geometric Mean LOS
4.8 Days
Arithmetic Mean LOS
6.2 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 9,743 | $161,002.36 | $30,345.02 | $26,826.51 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 32 | $33,086.91 | $29,486.06 |
| AL | 72 | $23,203.23 | $21,551.02 |
| AR | 72 | $23,295.54 | $19,898.64 |
| AZ | 183 | $30,878.41 | $25,494.02 |
| CA | 680 | $39,398.85 | $36,171.11 |
| CO | 54 | $25,456.05 | $23,551.24 |
| CT | 71 | $38,668.14 | $32,746.10 |
| DC | 46 | $39,110.96 | $32,653.87 |
| DE | 58 | $28,391.57 | $26,485.22 |
| FL | 828 | $25,818.25 | $23,156.33 |
| GA | 207 | $29,676.78 | $25,703.81 |
| HI | 24 | $41,544.42 | $32,673.96 |
| IA | 137 | $26,327.54 | $23,124.57 |
| ID | 33 | $30,226.86 | $27,591.09 |
| IL | 337 | $27,796.92 | $24,917.10 |
| IN | 254 | $26,657.61 | $24,000.44 |
| KS | 126 | $25,388.65 | $23,354.85 |
| KY | 125 | $25,507.53 | $23,453.06 |
| LA | 53 | $23,363.33 | $21,687.28 |
| MA | 394 | $36,856.03 | $33,354.50 |
| MD | 173 | $41,751.56 | $38,671.02 |
| ME | 68 | $32,163.49 | $26,579.59 |
| MI | 269 | $28,883.49 | $26,356.23 |
| MN | 317 | $30,579.58 | $27,658.80 |
| MO | 168 | $26,330.49 | $22,829.34 |
| MS | 59 | $23,964.31 | $21,262.47 |
| MT | 45 | $26,273.09 | $24,728.03 |
| NC | 318 | $28,692.61 | $23,922.56 |
| ND | 65 | $27,164.38 | $25,448.52 |
| NE | 66 | $22,548.85 | $21,232.72 |
| NH | 47 | $32,691.61 | $28,021.91 |
| NJ | 374 | $34,612.35 | $29,975.65 |
| NM | 46 | $24,211.51 | $21,491.92 |
| NV | 98 | $30,700.14 | $28,076.76 |
| NY | 506 | $38,349.42 | $34,301.04 |
| OH | 332 | $29,367.03 | $24,975.26 |
| OK | 130 | $24,532.84 | $21,369.20 |
| OR | 99 | $33,719.69 | $31,281.95 |
| PA | 530 | $30,391.77 | $26,364.54 |
| RI | 25 | $37,055.36 | $25,780.12 |
| SC | 221 | $27,172.61 | $24,444.37 |
| SD | 65 | $28,586.86 | $25,020.52 |
| TN | 227 | $26,333.06 | $22,340.56 |
| TX | 774 | $27,588.66 | $23,972.67 |
| UT | 76 | $26,425.34 | $23,820.16 |
| VA | 397 | $28,396.00 | $23,979.12 |
| VT | 31 | $21,426.65 | $15,882.23 |
| WA | 245 | $31,712.17 | $27,957.14 |
| WI | 112 | $30,125.96 | $25,126.20 |
| WV | 61 | $33,151.36 | $24,175.62 |
| WY | 13 | $31,789.23 | $30,845.23 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 3.1928 | 4.8 | Yes |
| 2024-10-01 | 3.3920 | 5.0 | Yes |
| 2023-10-01 | 3.4551 | 5.1 | Yes |
| 2022-10-01 | 3.4735 | 5.0 | Yes |
| 2021-10-01 | 3.7276 | 5.2 | Yes |
| 2020-10-01 | 3.7225 | 5.2 | Yes |
| 2019-10-01 | 3.7111 | 5.3 | Yes |
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