MS-DRG 423
OTHER HEPATOBILIARY OR PAN
Relative Weight
4.1530
Geometric Mean LOS
8.1 Days
Arithmetic Mean LOS
11.3 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 39 | $209,019.76 | $34,154.51 | $27,134.95 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| FL | 13 | $38,099.54 | $27,208.69 |
| KS | 14 | $36,699.57 | $28,841.07 |
| TN | 12 | $27,664.42 | $25,355.08 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 4.1530 | 8.1 | No |
| 2024-10-01 | 4.0674 | 8.1 | No |
| 2023-10-01 | 3.9109 | 8.0 | No |
| 2022-10-01 | 3.9319 | 7.8 | No |
| 2021-10-01 | 4.1859 | 8.4 | No |
| 2020-10-01 | 4.1790 | 8.4 | No |
| 2019-10-01 | 4.2382 | 8.9 | No |
Automate Your DRG Pricing
Bedrock Billing offers the industry's fastest enterprise API for MS-DRG grouping, pricing, and claims analysis.
Try Bedrock Billing for Free