MS-DRG 420
HEPATOBILIARY DIAGNOSTIC P
Relative Weight
3.4071
Geometric Mean LOS
6.9 Days
Arithmetic Mean LOS
9.5 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 22 | $148,365.64 | $34,158.59 | $24,372.78 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| NC | 11 | $31,001.73 | $23,521.91 |
| NJ | 11 | $37,315.45 | $25,223.64 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 3.4071 | 6.9 | No |
| 2024-10-01 | 3.5295 | 6.5 | No |
| 2023-10-01 | 3.2008 | 7.1 | No |
| 2022-10-01 | 3.2612 | 6.7 | No |
| 2021-10-01 | 3.5165 | 7.3 | No |
| 2020-10-01 | 3.5141 | 7.3 | No |
| 2019-10-01 | 3.4348 | 7.4 | No |
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