MS-DRG 395
OTHER DIGESTIVE SYSTEM DIA
Relative Weight
0.6490
Geometric Mean LOS
2.0 Days
Arithmetic Mean LOS
2.5 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 517 | $37,904.73 | $7,050.90 | $4,533.62 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AZ | 13 | $4,764.23 | $3,119.15 |
| DE | 11 | $7,506.27 | $4,198.18 |
| FL | 148 | $6,303.09 | $4,358.95 |
| IL | 26 | $6,139.04 | $3,899.51 |
| KY | 13 | $4,567.08 | $3,335.31 |
| MA | 68 | $7,537.50 | $4,977.21 |
| MD | 11 | $5,355.91 | $3,607.82 |
| NC | 22 | $8,267.18 | $4,424.86 |
| NJ | 26 | $6,272.27 | $4,812.23 |
| NV | 13 | $6,602.54 | $4,949.31 |
| NY | 87 | $9,231.61 | $5,704.77 |
| PA | 34 | $6,911.69 | $3,912.49 |
| TX | 33 | $6,326.58 | $4,354.41 |
| WV | 12 | $8,284.75 | $3,644.08 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.6490 | 2.0 | No |
| 2024-10-01 | 0.6364 | 2.1 | No |
| 2023-10-01 | 0.6475 | 2.1 | No |
| 2022-10-01 | 0.6449 | 2.1 | No |
| 2021-10-01 | 0.6515 | 2.2 | No |
| 2020-10-01 | 0.6497 | 2.2 | No |
| 2019-10-01 | 0.6544 | 2.2 | No |
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