MS-DRG 380
COMPLICATED PEPTIC ULCER W
Relative Weight
1.9622
Geometric Mean LOS
5.1 Days
Arithmetic Mean LOS
6.7 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 678 | $108,077.72 | $21,032.38 | $16,966.66 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AR | 11 | $13,431.00 | $12,566.64 |
| AZ | 15 | $20,813.40 | $15,616.47 |
| CA | 148 | $25,897.72 | $22,270.76 |
| DE | 11 | $17,626.55 | $15,638.55 |
| FL | 21 | $22,981.43 | $13,137.52 |
| IA | 11 | $20,340.73 | $14,841.55 |
| ID | 13 | $14,297.31 | $13,121.31 |
| IL | 27 | $20,630.01 | $17,926.05 |
| IN | 17 | $13,860.35 | $12,622.71 |
| KS | 13 | $17,936.38 | $15,242.69 |
| KY | 11 | $13,212.27 | $10,925.73 |
| MA | 27 | $24,712.17 | $21,527.52 |
| MD | 11 | $24,738.09 | $19,197.55 |
| MN | 14 | $35,730.86 | $19,094.29 |
| MO | 14 | $25,231.64 | $14,566.21 |
| NC | 14 | $19,334.71 | $14,399.86 |
| NJ | 23 | $22,530.24 | $18,489.20 |
| NM | 17 | $15,680.06 | $10,190.65 |
| NV | 11 | $16,447.45 | $15,619.45 |
| NY | 64 | $26,403.11 | $19,539.47 |
| OK | 12 | $12,663.67 | $11,961.83 |
| OR | 23 | $22,447.38 | $19,547.78 |
| PA | 14 | $18,427.07 | $12,581.07 |
| SC | 13 | $16,710.00 | $14,384.31 |
| TX | 84 | $15,285.90 | $13,331.59 |
| VA | 24 | $18,276.93 | $13,546.57 |
| WI | 15 | $22,996.07 | $15,301.67 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.9622 | 5.1 | Yes |
| 2024-10-01 | 1.9243 | 5.0 | Yes |
| 2023-10-01 | 1.9485 | 5.1 | Yes |
| 2022-10-01 | 1.9041 | 5.0 | Yes |
| 2021-10-01 | 1.8866 | 4.9 | Yes |
| 2020-10-01 | 1.8831 | 4.9 | Yes |
| 2019-10-01 | 1.8876 | 4.9 | Yes |
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