MS-DRG 435
MALIGNANCY OF HEPATOBILIAR
Relative Weight
1.8367
Geometric Mean LOS
4.8 Days
Arithmetic Mean LOS
6.3 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 7,905 | $96,489.54 | $18,578.13 | $14,728.65 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 53 | $15,885.89 | $11,511.92 |
| AR | 51 | $15,604.38 | $12,790.73 |
| AZ | 179 | $16,009.05 | $12,710.82 |
| CA | 945 | $23,446.42 | $19,812.33 |
| CO | 41 | $17,072.83 | $14,865.91 |
| CT | 84 | $20,793.43 | $16,014.85 |
| DC | 55 | $24,272.21 | $17,814.74 |
| DE | 57 | $15,257.49 | $13,178.84 |
| FL | 617 | $14,571.43 | $12,474.35 |
| GA | 174 | $18,368.90 | $13,614.54 |
| HI | 18 | $29,022.56 | $10,856.39 |
| IA | 49 | $15,604.11 | $12,575.05 |
| ID | 48 | $15,091.28 | $12,958.67 |
| IL | 466 | $17,858.81 | $14,184.25 |
| IN | 110 | $15,738.01 | $13,266.74 |
| KS | 100 | $16,586.91 | $11,331.20 |
| KY | 106 | $15,009.36 | $10,882.89 |
| LA | 53 | $15,256.10 | $11,007.46 |
| MA | 367 | $19,614.40 | $16,129.85 |
| MD | 195 | $26,120.34 | $24,650.94 |
| ME | 13 | $17,039.77 | $14,243.15 |
| MI | 205 | $17,704.30 | $13,452.73 |
| MN | 102 | $16,988.84 | $13,737.30 |
| MO | 112 | $16,500.07 | $13,377.14 |
| MS | 18 | $12,263.83 | $9,346.56 |
| NC | 242 | $17,954.77 | $13,367.27 |
| ND | 12 | $15,192.83 | $11,772.17 |
| NE | 29 | $13,407.09 | $11,045.89 |
| NH | 17 | $21,528.82 | $17,791.65 |
| NJ | 420 | $18,566.80 | $14,807.02 |
| NM | 28 | $13,274.71 | $11,423.61 |
| NV | 45 | $17,163.77 | $15,136.96 |
| NY | 666 | $24,466.81 | $17,408.00 |
| OH | 262 | $15,658.05 | $11,234.80 |
| OK | 109 | $15,830.33 | $12,333.85 |
| OR | 97 | $17,541.32 | $15,328.65 |
| PA | 397 | $17,677.13 | $13,894.15 |
| RI | 11 | $20,026.27 | $17,365.73 |
| SC | 91 | $16,964.16 | $12,659.87 |
| SD | 17 | $13,894.82 | $11,856.94 |
| TN | 188 | $14,966.69 | $11,210.56 |
| TX | 455 | $16,530.29 | $13,192.49 |
| UT | 19 | $20,200.58 | $16,176.00 |
| VA | 269 | $17,188.72 | $12,151.18 |
| VT | 19 | $16,643.63 | $12,444.53 |
| WA | 192 | $18,423.90 | $13,712.18 |
| WI | 80 | $18,893.81 | $13,294.19 |
| WV | 22 | $15,740.14 | $12,590.09 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.8367 | 4.8 | No |
| 2024-10-01 | 1.8246 | 4.8 | No |
| 2023-10-01 | 1.7599 | 4.8 | No |
| 2022-10-01 | 1.7482 | 4.7 | No |
| 2021-10-01 | 1.7534 | 4.8 | No |
| 2020-10-01 | 1.7528 | 4.8 | No |
| 2019-10-01 | 1.6971 | 4.7 | No |
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