MS-DRG 394
OTHER DIGESTIVE SYSTEM DIA
Relative Weight
0.9357
Geometric Mean LOS
2.9 Days
Arithmetic Mean LOS
3.7 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 23,654 | $47,251.16 | $9,253.73 | $7,130.47 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 29 | $9,038.20 | $7,453.47 |
| AL | 259 | $7,740.48 | $5,805.68 |
| AR | 153 | $7,178.01 | $5,533.19 |
| AZ | 433 | $8,718.82 | $6,602.42 |
| CA | 2,259 | $11,546.04 | $9,509.41 |
| CO | 170 | $8,371.05 | $6,734.28 |
| CT | 271 | $10,401.12 | $8,234.35 |
| DC | 41 | $12,215.46 | $8,168.85 |
| DE | 107 | $8,671.80 | $6,464.39 |
| FL | 2,479 | $8,311.89 | $6,606.37 |
| GA | 514 | $10,346.59 | $7,851.47 |
| HI | 28 | $11,469.39 | $7,946.64 |
| IA | 183 | $7,475.23 | $5,656.79 |
| ID | 67 | $7,512.53 | $6,066.86 |
| IL | 1,171 | $9,284.45 | $6,434.95 |
| IN | 579 | $7,907.63 | $6,387.54 |
| KS | 212 | $7,723.79 | $5,782.53 |
| KY | 294 | $7,753.11 | $5,843.07 |
| LA | 251 | $7,318.03 | $5,596.64 |
| MA | 1,128 | $9,429.66 | $7,553.35 |
| MD | 653 | $13,504.40 | $12,116.95 |
| ME | 57 | $10,348.72 | $6,295.70 |
| MI | 731 | $8,806.48 | $6,575.27 |
| MN | 404 | $8,791.02 | $6,368.01 |
| MO | 372 | $8,171.44 | $6,083.40 |
| MS | 206 | $7,477.50 | $6,096.62 |
| MT | 59 | $8,071.77 | $5,977.60 |
| NC | 623 | $9,330.76 | $6,800.72 |
| ND | 62 | $7,683.07 | $6,290.44 |
| NE | 131 | $9,081.48 | $6,503.96 |
| NH | 144 | $8,630.53 | $6,693.29 |
| NJ | 1,004 | $9,327.17 | $7,315.54 |
| NM | 39 | $6,968.79 | $5,391.55 |
| NV | 280 | $10,045.84 | $7,336.03 |
| NY | 1,677 | $11,330.76 | $8,621.57 |
| OH | 836 | $8,005.78 | $5,754.61 |
| OK | 163 | $8,784.65 | $6,377.99 |
| OR | 131 | $10,065.58 | $7,827.32 |
| PA | 1,185 | $8,641.04 | $6,502.40 |
| RI | 92 | $9,537.05 | $7,212.94 |
| SC | 372 | $8,690.58 | $6,358.38 |
| SD | 102 | $8,612.11 | $6,894.35 |
| TN | 507 | $8,121.12 | $5,904.52 |
| TX | 1,469 | $8,796.14 | $6,841.63 |
| UT | 94 | $9,050.81 | $6,505.15 |
| VA | 728 | $8,498.52 | $5,983.70 |
| VT | 35 | $7,020.80 | $4,424.43 |
| WA | 329 | $9,352.12 | $7,004.75 |
| WI | 371 | $8,181.86 | $6,200.79 |
| WV | 156 | $7,463.22 | $5,328.54 |
| WY | 14 | $9,458.14 | $6,968.36 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.9357 | 2.9 | No |
| 2024-10-01 | 0.9413 | 2.9 | No |
| 2023-10-01 | 0.9369 | 3.0 | No |
| 2022-10-01 | 0.9430 | 3.0 | No |
| 2021-10-01 | 0.9409 | 3.0 | No |
| 2020-10-01 | 0.9386 | 3.0 | No |
| 2019-10-01 | 0.9381 | 3.0 | No |
Automate Your DRG Pricing
Bedrock Billing offers the industry's fastest enterprise API for MS-DRG grouping, pricing, and claims analysis.
Try Bedrock Billing for Free