MS-DRG 398
APPENDIX PROCEDURES WITH C
Relative Weight
1.5136
Geometric Mean LOS
2.9 Days
Arithmetic Mean LOS
3.8 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 210 | $83,316.93 | $14,062.80 | $10,748.91 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AZ | 11 | $13,052.27 | $11,540.09 |
| CA | 16 | $17,743.50 | $14,095.81 |
| FL | 62 | $11,593.96 | $9,662.01 |
| IL | 11 | $16,094.91 | $7,837.55 |
| LA | 11 | $11,171.18 | $9,063.00 |
| NC | 11 | $16,282.00 | $10,180.82 |
| NY | 28 | $19,732.85 | $16,752.84 |
| TN | 12 | $10,785.00 | $8,884.42 |
| TX | 48 | $13,323.88 | $9,159.43 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.5136 | 2.9 | No |
| 2024-10-01 | 1.5132 | 3.0 | No |
| 2023-10-01 | 1.5133 | 3.1 | No |
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