MS-DRG 356
OTHER DIGESTIVE SYSTEM O.R
Relative Weight
4.3928
Geometric Mean LOS
7.6 Days
Arithmetic Mean LOS
10.2 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 2,095 | $216,233.06 | $43,528.53 | $36,878.82 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 21 | $32,813.67 | $30,977.43 |
| AZ | 45 | $38,423.10 | $34,045.72 |
| CA | 173 | $56,154.86 | $50,445.62 |
| CO | 12 | $33,869.08 | $28,052.58 |
| CT | 22 | $74,487.18 | $51,542.50 |
| DC | 16 | $55,168.75 | $36,439.06 |
| DE | 18 | $39,931.67 | $37,490.39 |
| FL | 184 | $37,159.88 | $32,215.16 |
| GA | 13 | $36,368.15 | $33,430.15 |
| HI | 12 | $42,053.83 | $33,699.25 |
| IA | 23 | $43,445.91 | $38,352.65 |
| ID | 11 | $37,390.55 | $25,820.91 |
| IL | 68 | $38,647.61 | $35,190.16 |
| IN | 63 | $36,965.32 | $32,771.12 |
| KS | 35 | $37,454.21 | $33,213.77 |
| KY | 29 | $43,046.91 | $31,018.91 |
| LA | 12 | $28,204.50 | $26,305.83 |
| MA | 137 | $54,871.40 | $48,454.55 |
| MD | 16 | $36,889.44 | $32,067.81 |
| MI | 40 | $43,993.62 | $35,912.76 |
| MN | 62 | $49,050.95 | $40,668.95 |
| MO | 45 | $39,065.32 | $35,200.78 |
| MS | 24 | $35,337.05 | $30,310.96 |
| NC | 116 | $38,086.68 | $29,874.15 |
| NE | 28 | $36,357.77 | $32,340.97 |
| NH | 19 | $51,381.84 | $47,253.63 |
| NJ | 44 | $43,565.84 | $41,130.44 |
| NV | 15 | $37,275.67 | $35,005.93 |
| NY | 104 | $66,461.25 | $53,312.71 |
| OH | 95 | $40,010.20 | $30,648.10 |
| OK | 42 | $34,858.30 | $30,122.12 |
| OR | 11 | $43,247.09 | $31,803.64 |
| PA | 101 | $42,729.21 | $35,286.21 |
| SC | 47 | $42,310.11 | $36,412.65 |
| SD | 22 | $34,778.45 | $32,952.77 |
| TN | 61 | $36,556.35 | $27,487.79 |
| TX | 144 | $38,995.10 | $33,170.42 |
| VA | 73 | $41,535.45 | $33,968.46 |
| VT | 12 | $24,384.00 | $21,038.92 |
| WA | 34 | $37,741.10 | $33,909.79 |
| WI | 27 | $51,284.65 | $35,710.85 |
| WV | 19 | $45,407.68 | $37,565.63 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 4.3928 | 7.6 | Yes |
| 2024-10-01 | 4.2657 | 7.7 | Yes |
| 2023-10-01 | 4.2787 | 8.0 | Yes |
| 2022-10-01 | 4.2225 | 7.7 | Yes |
| 2021-10-01 | 4.3078 | 7.7 | Yes |
| 2020-10-01 | 4.2914 | 7.6 | Yes |
| 2019-10-01 | 4.0772 | 7.6 | Yes |
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