MS-DRG 292
HEART FAILURE AND SHOCK WI
Relative Weight
0.8490
Geometric Mean LOS
2.9 Days
Arithmetic Mean LOS
3.7 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 5,135 | $40,613.94 | $9,457.40 | $7,146.62 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 12 | $12,909.75 | $12,229.75 |
| AL | 99 | $8,443.39 | $5,977.23 |
| AR | 66 | $6,236.75 | $4,833.02 |
| AZ | 112 | $8,317.90 | $6,370.26 |
| CA | 446 | $14,406.31 | $11,139.46 |
| CO | 49 | $8,199.20 | $6,540.37 |
| CT | 19 | $11,263.42 | $7,417.68 |
| DC | 14 | $11,525.29 | $6,793.00 |
| DE | 40 | $7,776.93 | $6,211.58 |
| FL | 453 | $8,369.03 | $6,564.03 |
| GA | 52 | $11,492.96 | $6,809.04 |
| IA | 53 | $8,166.34 | $6,078.77 |
| ID | 15 | $6,424.53 | $5,053.60 |
| IL | 202 | $9,777.48 | $6,282.47 |
| IN | 111 | $6,893.39 | $5,352.43 |
| KS | 15 | $10,662.80 | $5,961.73 |
| KY | 143 | $6,011.96 | $4,784.18 |
| LA | 116 | $6,974.60 | $4,952.95 |
| MA | 196 | $10,394.11 | $7,808.06 |
| MD | 512 | $11,669.37 | $10,071.93 |
| ME | 21 | $8,332.90 | $6,544.95 |
| MI | 119 | $9,525.93 | $5,855.86 |
| MN | 71 | $9,626.72 | $5,714.73 |
| MO | 129 | $7,671.27 | $5,718.43 |
| MS | 55 | $7,499.99 | $5,875.14 |
| MT | 33 | $7,155.75 | $5,416.55 |
| NC | 292 | $9,177.33 | $6,504.18 |
| ND | 14 | $6,301.14 | $5,441.71 |
| NE | 37 | $7,791.39 | $5,685.58 |
| NH | 23 | $6,748.73 | $5,384.82 |
| NJ | 114 | $8,334.31 | $6,434.21 |
| NM | 14 | $10,874.00 | $9,854.71 |
| NY | 249 | $10,449.88 | $8,044.86 |
| OH | 208 | $7,294.09 | $5,464.96 |
| OK | 69 | $8,156.13 | $6,173.76 |
| OR | 12 | $12,209.25 | $9,225.75 |
| PA | 301 | $8,552.25 | $6,412.55 |
| RI | 41 | $9,637.99 | $7,429.72 |
| SC | 66 | $8,036.95 | $5,589.58 |
| SD | 18 | $7,465.22 | $5,987.33 |
| TN | 71 | $8,540.53 | $5,736.64 |
| TX | 231 | $8,096.12 | $6,377.03 |
| UT | 16 | $11,860.00 | $8,173.13 |
| VA | 80 | $8,642.40 | $5,932.88 |
| VT | 21 | $6,622.05 | $4,107.76 |
| WA | 32 | $12,573.53 | $7,395.38 |
| WI | 62 | $9,440.74 | $5,804.17 |
| WY | 11 | $7,965.91 | $6,879.91 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.8490 | 2.9 | Yes |
| 2024-10-01 | 0.8612 | 3.0 | Yes |
| 2023-10-01 | 0.8565 | 3.0 | Yes |
| 2022-10-01 | 0.8628 | 3.0 | Yes |
| 2021-10-01 | 0.8635 | 3.0 | Yes |
| 2020-10-01 | 0.8951 | 3.1 | Yes |
| 2019-10-01 | 0.9055 | 3.2 | Yes |
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