MS-DRG 405
PANCREAS, LIVER AND SHUNT
Relative Weight
5.4705
Geometric Mean LOS
8.4 Days
Arithmetic Mean LOS
11.8 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 1,759 | $303,558.96 | $65,924.19 | $53,646.81 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 26 | $51,941.70 | $40,642.04 |
| AZ | 46 | $62,916.34 | $52,205.97 |
| CA | 225 | $112,569.05 | $86,345.01 |
| CO | 22 | $66,695.91 | $59,499.41 |
| CT | 15 | $71,569.80 | $57,865.73 |
| DC | 42 | $74,117.07 | $62,871.84 |
| FL | 122 | $45,088.86 | $39,233.82 |
| GA | 51 | $79,793.76 | $43,031.94 |
| IA | 18 | $62,133.00 | $55,564.72 |
| IL | 40 | $52,832.99 | $48,861.96 |
| IN | 58 | $48,893.14 | $44,136.33 |
| KS | 20 | $44,768.55 | $40,927.35 |
| KY | 29 | $53,492.03 | $37,786.57 |
| MA | 96 | $66,645.55 | $57,704.34 |
| MD | 55 | $65,285.92 | $63,353.23 |
| MI | 20 | $77,286.70 | $50,136.80 |
| MN | 49 | $61,753.78 | $48,162.01 |
| MO | 36 | $69,496.46 | $50,271.29 |
| NC | 35 | $57,043.86 | $43,919.82 |
| ND | 11 | $60,277.36 | $50,295.36 |
| NE | 20 | $57,448.35 | $50,459.90 |
| NH | 22 | $62,045.18 | $57,578.91 |
| NJ | 42 | $60,823.85 | $54,417.61 |
| NY | 155 | $82,672.11 | $70,919.40 |
| OH | 60 | $59,433.72 | $40,118.32 |
| OK | 32 | $60,750.07 | $52,214.41 |
| OR | 20 | $70,693.35 | $63,618.40 |
| PA | 85 | $55,794.50 | $47,343.48 |
| SC | 27 | $64,777.33 | $46,337.74 |
| TN | 22 | $64,245.50 | $46,361.91 |
| TX | 126 | $53,725.93 | $43,382.07 |
| UT | 24 | $45,414.63 | $38,503.67 |
| VA | 31 | $63,785.07 | $49,118.09 |
| WA | 56 | $62,281.76 | $54,033.69 |
| WI | 21 | $60,379.24 | $52,259.57 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 5.4705 | 8.4 | Yes |
| 2024-10-01 | 5.4287 | 8.5 | Yes |
| 2023-10-01 | 5.5052 | 9.0 | Yes |
| 2022-10-01 | 5.5419 | 9.1 | Yes |
| 2021-10-01 | 5.7376 | 9.5 | Yes |
| 2020-10-01 | 5.7305 | 9.5 | Yes |
| 2019-10-01 | 5.4272 | 9.4 | Yes |
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