MS-DRG 402
SINGLE LEVEL COMBINED ANTE
Relative Weight
4.0205
Geometric Mean LOS
2.4 Days
Arithmetic Mean LOS
2.9 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 1,378 | $186,661.10 | $36,300.16 | $29,488.54 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 11 | $33,617.36 | $29,536.36 |
| AL | 40 | $27,221.54 | $21,230.14 |
| AZ | 39 | $33,736.22 | $31,428.75 |
| CA | 99 | $53,225.66 | $45,268.79 |
| DE | 17 | $36,899.94 | $29,415.53 |
| FL | 64 | $35,107.45 | $27,705.26 |
| GA | 12 | $31,932.75 | $29,197.00 |
| ID | 12 | $30,420.08 | $22,760.83 |
| IL | 60 | $37,365.18 | $29,220.46 |
| IN | 32 | $33,869.13 | $30,065.51 |
| KS | 32 | $29,904.79 | $24,974.53 |
| KY | 12 | $30,093.00 | $28,398.25 |
| LA | 36 | $24,399.74 | $22,806.60 |
| MA | 54 | $44,608.95 | $39,901.88 |
| MD | 16 | $33,023.50 | $31,391.50 |
| MI | 17 | $34,762.18 | $32,284.00 |
| MN | 39 | $34,939.95 | $29,514.20 |
| MO | 31 | $28,540.80 | $22,371.11 |
| MT | 12 | $33,118.50 | $26,677.17 |
| NC | 65 | $33,635.84 | $30,423.05 |
| NE | 34 | $29,243.32 | $23,898.96 |
| NV | 14 | $42,027.21 | $40,152.43 |
| NY | 71 | $47,892.06 | $37,985.32 |
| OH | 51 | $34,577.94 | $24,007.37 |
| OK | 80 | $27,803.92 | $24,705.59 |
| OR | 55 | $37,503.99 | $33,069.81 |
| PA | 39 | $43,072.06 | $32,817.59 |
| SC | 11 | $31,811.18 | $29,949.36 |
| SD | 24 | $29,004.04 | $23,615.17 |
| TN | 27 | $28,653.05 | $26,804.22 |
| TX | 172 | $37,084.25 | $24,021.20 |
| UT | 22 | $31,429.46 | $27,732.82 |
| VA | 52 | $36,607.75 | $24,369.74 |
| WA | 26 | $37,349.84 | $27,745.85 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 4.0205 | 2.4 | No |
| 2024-10-01 | 3.9122 | 2.4 | No |
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