MS-DRG 426
MULTIPLE LEVEL COMBINED AN
Relative Weight
11.0212
Geometric Mean LOS
7.3 Days
Arithmetic Mean LOS
9.2 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 81 | $677,446.77 | $132,100.15 | $116,419.20 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| CA | 31 | $180,848.97 | $170,077.39 |
| KY | 12 | $79,797.17 | $63,348.33 |
| MO | 14 | $113,054.71 | $105,212.00 |
| NY | 24 | $143,399.95 | $121,729.14 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 11.0212 | 7.3 | Yes |
| 2024-10-01 | 10.4754 | 7.6 | Yes |
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