MS-DRG 354
HERNIA PROCEDURES EXCEPT I
Relative Weight
1.6824
Geometric Mean LOS
3.1 Days
Arithmetic Mean LOS
4.0 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 1,272 | $97,039.80 | $18,994.32 | $13,839.99 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 16 | $18,804.31 | $14,158.44 |
| AZ | 29 | $22,636.49 | $10,292.09 |
| CA | 66 | $25,946.86 | $21,313.20 |
| CO | 13 | $19,085.31 | $12,747.92 |
| CT | 22 | $22,028.14 | $16,650.82 |
| FL | 72 | $20,249.57 | $11,210.51 |
| IA | 11 | $12,755.27 | $10,782.91 |
| IL | 44 | $18,235.07 | $12,803.65 |
| IN | 45 | $15,828.59 | $12,280.88 |
| KS | 15 | $17,325.13 | $11,207.00 |
| LA | 12 | $10,152.75 | $8,554.17 |
| MA | 74 | $22,818.59 | $16,387.05 |
| MD | 11 | $42,298.45 | $36,228.36 |
| MI | 26 | $18,344.11 | $13,249.36 |
| MN | 69 | $18,804.79 | $13,730.68 |
| MO | 41 | $17,432.14 | $12,313.74 |
| MS | 11 | $11,386.73 | $9,747.27 |
| NC | 35 | $15,546.39 | $12,310.64 |
| NE | 40 | $15,023.65 | $11,045.14 |
| NJ | 28 | $16,792.17 | $12,502.42 |
| NY | 125 | $22,638.25 | $17,322.45 |
| OH | 122 | $16,568.70 | $12,266.77 |
| OK | 11 | $15,005.91 | $10,446.36 |
| OR | 33 | $17,341.22 | $15,024.31 |
| PA | 56 | $18,295.92 | $12,711.39 |
| SC | 16 | $26,623.19 | $19,736.13 |
| SD | 14 | $14,673.64 | $11,250.57 |
| TN | 14 | $20,377.64 | $11,794.14 |
| TX | 81 | $15,640.38 | $11,340.54 |
| UT | 16 | $18,678.94 | $15,161.56 |
| VA | 55 | $18,784.71 | $13,508.79 |
| WA | 11 | $16,134.00 | $11,497.18 |
| WI | 38 | $18,326.25 | $12,372.67 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.6824 | 3.1 | No |
| 2024-10-01 | 1.7011 | 3.3 | No |
| 2023-10-01 | 1.7178 | 3.5 | No |
| 2022-10-01 | 1.7520 | 3.6 | No |
| 2021-10-01 | 1.7848 | 3.6 | No |
| 2020-10-01 | 1.7830 | 3.6 | No |
| 2019-10-01 | 1.7221 | 3.7 | No |
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