MS-DRG 266
ENDOVASCULAR CARDIAC VALVE
Relative Weight
6.1284
Geometric Mean LOS
2.5 Days
Arithmetic Mean LOS
4.5 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 23,630 | $289,406.28 | $55,848.61 | $51,916.62 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 40 | $56,886.75 | $54,023.73 |
| AL | 356 | $41,374.04 | $38,916.48 |
| AR | 208 | $41,028.98 | $39,004.19 |
| AZ | 414 | $53,798.51 | $50,708.38 |
| CA | 2,347 | $73,713.93 | $69,880.59 |
| CO | 453 | $50,477.12 | $47,978.68 |
| CT | 253 | $65,816.30 | $61,813.83 |
| DC | 106 | $68,552.88 | $63,595.81 |
| DE | 95 | $62,497.03 | $60,646.96 |
| FL | 2,221 | $48,429.20 | $45,513.69 |
| GA | 768 | $50,613.23 | $46,246.91 |
| HI | 46 | $67,792.24 | $61,853.59 |
| IA | 225 | $45,371.37 | $42,859.10 |
| ID | 62 | $49,204.12 | $45,465.89 |
| IL | 640 | $56,004.22 | $50,645.41 |
| IN | 444 | $46,857.56 | $44,517.41 |
| KS | 268 | $47,938.12 | $43,464.28 |
| KY | 146 | $50,375.42 | $48,143.82 |
| LA | 263 | $43,975.59 | $41,621.43 |
| MA | 683 | $73,130.01 | $69,366.78 |
| MD | 259 | $88,817.82 | $85,546.65 |
| ME | 89 | $58,141.91 | $53,153.14 |
| MI | 359 | $55,691.71 | $50,995.27 |
| MN | 533 | $57,968.50 | $53,668.79 |
| MO | 475 | $48,445.87 | $45,163.35 |
| MS | 296 | $42,228.65 | $40,203.29 |
| MT | 202 | $47,279.48 | $45,952.97 |
| NC | 443 | $54,336.98 | $49,207.29 |
| ND | 68 | $49,442.78 | $46,348.61 |
| NE | 145 | $48,734.96 | $45,058.16 |
| NH | 116 | $57,901.25 | $55,711.00 |
| NJ | 723 | $62,964.02 | $58,594.83 |
| NM | 80 | $46,564.11 | $44,128.89 |
| NV | 274 | $55,347.46 | $51,471.96 |
| NY | 1,629 | $68,763.70 | $63,669.66 |
| OH | 683 | $53,756.46 | $47,647.52 |
| OK | 138 | $44,432.61 | $42,300.03 |
| OR | 346 | $62,462.35 | $59,097.29 |
| PA | 999 | $55,840.61 | $52,156.25 |
| RI | 56 | $64,096.93 | $59,940.32 |
| SC | 570 | $50,141.13 | $46,430.91 |
| SD | 74 | $52,085.00 | $47,754.95 |
| TN | 616 | $46,579.81 | $42,174.04 |
| TX | 1,869 | $50,232.50 | $46,157.88 |
| UT | 181 | $51,973.07 | $47,971.25 |
| VA | 802 | $56,721.53 | $48,822.98 |
| VT | 58 | $47,466.41 | $42,006.76 |
| WA | 905 | $57,776.17 | $51,521.18 |
| WI | 497 | $52,335.77 | $47,431.86 |
| WV | 107 | $51,729.37 | $47,562.15 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 6.1284 | 2.5 | Yes |
| 2024-10-01 | 5.9908 | 2.6 | Yes |
| 2023-10-01 | 6.2461 | 2.7 | Yes |
| 2022-10-01 | 6.6007 | 2.8 | Yes |
| 2021-10-01 | 7.0479 | 3.2 | Yes |
| 2020-10-01 | 7.0972 | 3.2 | Yes |
| 2019-10-01 | 7.1214 | 3.5 | Yes |
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