MS-DRG 355
HERNIA PROCEDURES EXCEPT I
Relative Weight
1.3450
Geometric Mean LOS
1.8 Days
Arithmetic Mean LOS
2.2 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 790 | $74,301.40 | $13,007.06 | $9,777.72 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 27 | $14,661.02 | $6,820.15 |
| AR | 13 | $9,385.08 | $7,704.08 |
| AZ | 30 | $12,153.38 | $9,774.32 |
| DE | 16 | $10,768.94 | $9,080.56 |
| FL | 81 | $11,571.91 | $8,273.38 |
| GA | 12 | $12,381.17 | $10,531.50 |
| IL | 35 | $12,999.42 | $10,809.66 |
| IN | 15 | $13,910.73 | $11,251.93 |
| KS | 11 | $11,885.36 | $9,983.91 |
| KY | 13 | $10,183.77 | $7,654.38 |
| MA | 26 | $15,202.23 | $13,061.59 |
| MD | 18 | $14,034.89 | $11,370.44 |
| MI | 21 | $12,167.19 | $9,568.33 |
| MN | 17 | $15,814.29 | $12,852.18 |
| MO | 17 | $14,004.24 | $10,892.53 |
| NC | 47 | $13,215.65 | $9,302.44 |
| ND | 13 | $11,194.31 | $9,282.23 |
| NE | 13 | $10,115.46 | $8,384.23 |
| NJ | 42 | $11,934.80 | $10,299.45 |
| NY | 122 | $16,128.24 | $12,301.27 |
| OH | 32 | $14,474.69 | $9,357.34 |
| PA | 54 | $13,926.53 | $10,118.19 |
| SC | 29 | $13,815.83 | $8,845.15 |
| TX | 47 | $11,380.11 | $8,256.28 |
| VA | 13 | $13,028.69 | $8,316.92 |
| WA | 15 | $11,951.47 | $8,985.60 |
| WI | 11 | $13,645.36 | $11,375.82 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.3450 | 1.8 | No |
| 2024-10-01 | 1.3332 | 2.0 | No |
| 2023-10-01 | 1.3626 | 2.3 | No |
| 2022-10-01 | 1.3723 | 2.3 | No |
| 2021-10-01 | 1.3602 | 2.4 | No |
| 2020-10-01 | 1.3592 | 2.4 | No |
| 2019-10-01 | 1.3724 | 2.5 | No |
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