MS-DRG 374
DIGESTIVE MALIGNANCY WITH
Relative Weight
2.1387
Geometric Mean LOS
5.5 Days
Arithmetic Mean LOS
7.6 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 5,486 | $104,528.74 | $21,630.25 | $17,382.91 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 12 | $24,651.33 | $23,416.00 |
| AL | 17 | $21,086.00 | $14,798.88 |
| AR | 12 | $14,492.67 | $13,215.50 |
| AZ | 74 | $24,185.64 | $16,941.60 |
| CA | 674 | $27,988.94 | $23,053.66 |
| CT | 91 | $28,092.94 | $19,142.45 |
| DC | 59 | $22,654.77 | $17,349.50 |
| DE | 27 | $20,549.11 | $15,575.89 |
| FL | 342 | $17,788.99 | $14,422.23 |
| GA | 64 | $17,973.40 | $16,028.19 |
| HI | 14 | $25,663.43 | $16,185.71 |
| IA | 36 | $16,660.83 | $13,921.06 |
| ID | 14 | $16,101.00 | $15,140.14 |
| IL | 401 | $19,353.72 | $15,322.36 |
| IN | 61 | $17,044.78 | $14,806.20 |
| KS | 59 | $16,258.04 | $13,746.05 |
| KY | 46 | $17,893.47 | $13,681.20 |
| LA | 12 | $15,971.08 | $14,119.33 |
| MA | 352 | $22,028.27 | $18,705.37 |
| MD | 110 | $28,247.85 | $25,914.58 |
| MI | 154 | $19,626.35 | $15,203.59 |
| MN | 124 | $20,854.75 | $16,421.77 |
| MO | 106 | $20,508.56 | $15,695.52 |
| NC | 149 | $21,764.28 | $16,347.26 |
| ND | 11 | $14,172.09 | $12,748.91 |
| NE | 44 | $18,176.37 | $14,381.83 |
| NH | 15 | $30,755.33 | $23,814.53 |
| NJ | 294 | $22,246.26 | $18,039.99 |
| NM | 21 | $14,334.52 | $12,775.38 |
| NV | 45 | $19,603.46 | $16,985.96 |
| NY | 635 | $26,739.28 | $21,824.91 |
| OH | 154 | $19,700.22 | $15,629.23 |
| OK | 68 | $17,100.64 | $13,576.74 |
| OR | 49 | $27,101.37 | $19,956.51 |
| PA | 228 | $21,773.42 | $16,084.46 |
| SC | 60 | $16,609.76 | $14,031.77 |
| SD | 30 | $18,297.93 | $16,353.67 |
| TN | 124 | $17,026.21 | $12,972.82 |
| TX | 319 | $16,936.51 | $14,315.69 |
| UT | 18 | $22,222.44 | $17,076.33 |
| VA | 183 | $18,357.27 | $14,263.54 |
| WA | 120 | $22,007.39 | $16,603.98 |
| WI | 58 | $23,840.27 | $16,847.93 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.1387 | 5.5 | Yes |
| 2024-10-01 | 2.1114 | 5.6 | Yes |
| 2023-10-01 | 2.0990 | 5.6 | Yes |
| 2022-10-01 | 1.9933 | 5.3 | Yes |
| 2021-10-01 | 2.0737 | 5.5 | Yes |
| 2020-10-01 | 2.0679 | 5.5 | Yes |
| 2019-10-01 | 1.9975 | 5.4 | Yes |
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