MS-DRG 381
COMPLICATED PEPTIC ULCER W
Relative Weight
1.0835
Geometric Mean LOS
3.1 Days
Arithmetic Mean LOS
3.8 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 481 | $62,609.44 | $10,501.26 | $8,067.17 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| CA | 72 | $11,718.56 | $9,635.73 |
| DE | 13 | $9,994.15 | $8,110.77 |
| FL | 88 | $9,189.14 | $6,868.94 |
| IL | 28 | $7,941.11 | $6,021.45 |
| KY | 16 | $7,922.19 | $6,115.81 |
| MA | 14 | $9,200.57 | $7,801.71 |
| MN | 13 | $13,521.38 | $10,702.15 |
| MS | 11 | $6,771.91 | $5,568.82 |
| NJ | 29 | $13,088.19 | $9,791.51 |
| NM | 15 | $8,541.40 | $6,390.13 |
| NV | 12 | $11,327.83 | $8,073.17 |
| NY | 59 | $14,303.67 | $10,603.25 |
| OH | 27 | $11,242.67 | $7,247.65 |
| PA | 11 | $9,753.82 | $8,072.27 |
| SC | 17 | $8,153.59 | $6,684.76 |
| TN | 11 | $7,328.55 | $6,575.55 |
| TX | 23 | $8,819.30 | $6,389.13 |
| VA | 11 | $8,490.91 | $6,872.27 |
| WI | 11 | $11,731.00 | $9,000.64 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.0835 | 3.1 | Yes |
| 2024-10-01 | 1.0891 | 3.2 | Yes |
| 2023-10-01 | 1.0730 | 3.2 | Yes |
| 2022-10-01 | 1.0555 | 3.1 | Yes |
| 2021-10-01 | 1.0593 | 3.2 | Yes |
| 2020-10-01 | 1.0597 | 3.2 | Yes |
| 2019-10-01 | 1.0767 | 3.2 | Yes |
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