MS-DRG 291
HEART FAILURE AND SHOCK WI
Relative Weight
1.2838
Geometric Mean LOS
3.8 Days
Arithmetic Mean LOS
5.0 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 304,694 | $52,916.32 | $12,078.37 | $10,153.07 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 537 | $17,977.07 | $16,428.40 |
| AL | 4,230 | $9,909.25 | $8,173.82 |
| AR | 3,283 | $9,462.60 | $8,130.91 |
| AZ | 4,873 | $11,830.48 | $9,998.48 |
| CA | 26,610 | $16,066.11 | $13,157.05 |
| CO | 2,510 | $11,250.19 | $9,574.65 |
| CT | 3,928 | $13,485.17 | $11,516.36 |
| DC | 814 | $16,019.40 | $12,028.84 |
| DE | 1,767 | $11,672.60 | $9,898.25 |
| FL | 23,493 | $10,858.34 | $9,257.76 |
| GA | 9,106 | $11,746.57 | $9,754.35 |
| HI | 745 | $16,849.74 | $12,843.92 |
| IA | 2,899 | $9,935.01 | $8,449.93 |
| ID | 885 | $10,801.60 | $9,256.71 |
| IL | 15,144 | $12,783.37 | $10,708.54 |
| IN | 7,335 | $10,707.06 | $9,162.72 |
| KS | 2,692 | $10,300.04 | $8,703.27 |
| KY | 4,869 | $9,706.78 | $8,320.50 |
| LA | 4,664 | $9,876.55 | $8,312.87 |
| MA | 11,540 | $12,870.96 | $10,961.67 |
| MD | 7,932 | $17,970.36 | $16,490.23 |
| ME | 1,030 | $12,138.78 | $10,583.00 |
| MI | 9,464 | $11,449.65 | $9,544.00 |
| MN | 4,298 | $11,495.50 | $9,938.30 |
| MO | 6,883 | $11,175.65 | $9,614.96 |
| MS | 3,620 | $9,913.64 | $8,535.70 |
| MT | 805 | $10,513.31 | $9,243.78 |
| NC | 9,559 | $10,932.11 | $9,181.66 |
| ND | 842 | $10,546.09 | $8,924.45 |
| NE | 1,742 | $10,434.95 | $8,977.37 |
| NH | 1,723 | $11,131.05 | $9,498.70 |
| NJ | 11,041 | $13,401.21 | $11,366.28 |
| NM | 1,162 | $11,317.98 | $9,676.41 |
| NV | 2,321 | $12,512.58 | $10,519.93 |
| NY | 16,510 | $16,421.27 | $13,350.47 |
| OH | 12,342 | $10,558.13 | $8,709.95 |
| OK | 4,164 | $10,347.35 | $8,938.16 |
| OR | 2,466 | $13,058.75 | $11,126.66 |
| PA | 15,656 | $10,821.73 | $8,855.22 |
| RI | 927 | $11,977.25 | $9,993.37 |
| SC | 5,966 | $10,641.27 | $8,829.34 |
| SD | 888 | $10,633.38 | $9,171.78 |
| TN | 6,623 | $10,098.55 | $8,340.25 |
| TX | 20,162 | $12,264.04 | $10,671.26 |
| UT | 1,228 | $10,450.60 | $8,722.29 |
| VA | 10,175 | $10,832.37 | $8,870.22 |
| VT | 530 | $8,995.54 | $7,223.17 |
| WA | 5,302 | $12,213.99 | $10,079.85 |
| WI | 4,850 | $10,456.83 | $8,717.99 |
| WV | 2,071 | $10,021.59 | $8,063.86 |
| WY | 488 | $15,478.30 | $13,718.15 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.2838 | 3.8 | Yes |
| 2024-10-01 | 1.3048 | 3.9 | Yes |
| 2023-10-01 | 1.2839 | 3.9 | Yes |
| 2022-10-01 | 1.2798 | 3.9 | Yes |
| 2021-10-01 | 1.2683 | 3.8 | Yes |
| 2020-10-01 | 1.3409 | 4.0 | Yes |
| 2019-10-01 | 1.3458 | 4.1 | Yes |
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