MS-DRG 406
PANCREAS, LIVER AND SHUNT
Relative Weight
2.9002
Geometric Mean LOS
4.7 Days
Arithmetic Mean LOS
5.9 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 3,016 | $158,130.28 | $31,397.46 | $24,555.74 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 41 | $24,607.62 | $16,279.19 |
| AR | 29 | $26,951.96 | $20,434.25 |
| AZ | 63 | $30,265.24 | $24,496.58 |
| CA | 293 | $42,841.74 | $33,668.03 |
| CO | 27 | $30,145.81 | $25,253.56 |
| CT | 31 | $39,013.50 | $24,659.37 |
| DC | 23 | $36,844.04 | $26,075.00 |
| FL | 179 | $29,600.64 | $22,463.92 |
| GA | 68 | $28,516.61 | $20,939.08 |
| IA | 29 | $25,049.95 | $22,036.74 |
| IL | 142 | $31,683.44 | $23,623.73 |
| IN | 72 | $24,695.57 | $21,790.01 |
| KS | 39 | $24,461.74 | $20,896.13 |
| KY | 41 | $23,458.12 | $19,567.36 |
| LA | 24 | $38,252.83 | $34,415.04 |
| MA | 166 | $35,011.64 | $30,572.58 |
| MD | 124 | $53,219.60 | $50,239.64 |
| MI | 72 | $32,841.35 | $22,585.57 |
| MN | 123 | $31,509.10 | $22,182.18 |
| MO | 74 | $27,445.30 | $19,980.66 |
| NC | 122 | $27,629.99 | $21,555.28 |
| NE | 48 | $24,363.05 | $19,929.04 |
| NH | 24 | $37,759.21 | $31,747.08 |
| NJ | 69 | $30,502.73 | $25,190.08 |
| NY | 177 | $36,070.30 | $29,368.70 |
| OH | 91 | $33,281.94 | $22,742.92 |
| OR | 21 | $35,338.48 | $29,908.29 |
| PA | 218 | $29,183.67 | $24,563.48 |
| SC | 61 | $27,896.69 | $20,500.77 |
| TN | 77 | $24,242.00 | $19,888.81 |
| TX | 168 | $27,782.81 | $20,643.02 |
| UT | 39 | $26,942.68 | $23,435.53 |
| VA | 91 | $28,380.28 | $22,677.96 |
| WA | 64 | $29,969.40 | $23,216.50 |
| WI | 70 | $32,044.66 | $21,311.18 |
| WV | 16 | $26,254.63 | $19,946.56 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.9002 | 4.7 | Yes |
| 2024-10-01 | 2.8084 | 4.7 | Yes |
| 2023-10-01 | 2.8874 | 5.0 | Yes |
| 2022-10-01 | 2.9297 | 5.1 | Yes |
| 2021-10-01 | 2.8809 | 5.1 | Yes |
| 2020-10-01 | 2.8770 | 5.1 | Yes |
| 2019-10-01 | 2.7909 | 5.2 | Yes |
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