MS-DRG 436
MALIGNANCY OF HEPATOBILIAR
Relative Weight
1.1311
Geometric Mean LOS
3.3 Days
Arithmetic Mean LOS
4.3 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 908 | $65,375.36 | $12,579.13 | $9,214.35 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 11 | $16,052.73 | $8,025.45 |
| AR | 11 | $7,763.64 | $6,157.45 |
| AZ | 12 | $14,464.08 | $8,088.08 |
| CA | 81 | $18,661.33 | $13,415.93 |
| DE | 22 | $10,450.73 | $8,482.00 |
| FL | 157 | $9,825.89 | $7,512.31 |
| IA | 11 | $12,417.73 | $7,869.00 |
| IL | 39 | $8,746.05 | $6,998.28 |
| IN | 27 | $8,183.50 | $7,007.08 |
| KY | 30 | $10,110.42 | $7,508.81 |
| MA | 57 | $14,624.96 | $11,525.51 |
| MD | 46 | $16,588.27 | $14,892.93 |
| MI | 12 | $11,035.17 | $6,811.17 |
| MN | 12 | $19,121.33 | $8,619.17 |
| MO | 25 | $12,441.14 | $8,732.46 |
| NC | 27 | $11,952.86 | $8,980.63 |
| NJ | 51 | $11,526.70 | $8,305.09 |
| NY | 74 | $16,233.60 | $11,515.04 |
| OH | 49 | $11,639.43 | $7,272.41 |
| PA | 50 | $10,547.79 | $8,282.96 |
| SD | 11 | $9,514.27 | $7,791.45 |
| TN | 39 | $12,011.46 | $7,739.99 |
| TX | 26 | $9,291.23 | $7,205.77 |
| VA | 14 | $8,969.43 | $7,709.36 |
| WI | 14 | $11,682.93 | $9,015.29 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.1311 | 3.3 | No |
| 2024-10-01 | 1.1277 | 3.3 | No |
| 2023-10-01 | 1.1007 | 3.4 | No |
| 2022-10-01 | 1.1004 | 3.3 | No |
| 2021-10-01 | 1.1215 | 3.4 | No |
| 2020-10-01 | 1.1202 | 3.4 | No |
| 2019-10-01 | 1.1257 | 3.4 | No |
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