MS-DRG 445
DISORDERS OF THE BILIARY T
Relative Weight
1.0944
Geometric Mean LOS
3.0 Days
Arithmetic Mean LOS
3.7 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 9,692 | $59,776.08 | $10,810.33 | $8,362.53 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 15 | $12,155.40 | $7,803.07 |
| AL | 73 | $8,985.30 | $6,425.31 |
| AR | 81 | $7,900.71 | $6,310.14 |
| AZ | 236 | $9,437.76 | $7,522.11 |
| CA | 885 | $13,679.58 | $11,321.60 |
| CO | 79 | $9,872.09 | $7,939.05 |
| CT | 113 | $13,596.49 | $10,470.78 |
| DC | 33 | $11,487.35 | $8,589.53 |
| DE | 73 | $9,790.15 | $7,635.69 |
| FL | 874 | $9,418.46 | $7,503.90 |
| GA | 104 | $11,011.98 | $7,890.37 |
| HI | 27 | $12,498.55 | $9,534.17 |
| IA | 125 | $8,213.54 | $6,517.33 |
| ID | 27 | $9,233.28 | $8,034.84 |
| IL | 445 | $10,507.87 | $7,492.10 |
| IN | 219 | $9,343.38 | $7,251.17 |
| KS | 85 | $9,681.42 | $7,450.71 |
| KY | 97 | $8,883.95 | $6,923.25 |
| LA | 120 | $8,475.60 | $6,731.45 |
| MA | 479 | $11,807.20 | $9,333.93 |
| MD | 312 | $14,563.21 | $12,919.51 |
| ME | 46 | $9,446.76 | $7,937.14 |
| MI | 224 | $10,780.04 | $7,734.49 |
| MN | 147 | $9,792.41 | $7,722.27 |
| MO | 222 | $9,064.95 | $7,239.66 |
| MS | 42 | $7,845.02 | $6,089.20 |
| MT | 47 | $10,306.88 | $6,697.37 |
| NC | 356 | $10,865.31 | $7,946.75 |
| ND | 48 | $9,326.39 | $7,478.14 |
| NE | 62 | $9,769.97 | $7,255.46 |
| NH | 68 | $9,893.26 | $7,873.90 |
| NJ | 383 | $10,645.02 | $8,432.25 |
| NM | 30 | $7,961.44 | $6,557.72 |
| NV | 119 | $10,241.63 | $8,651.72 |
| NY | 747 | $12,597.30 | $9,514.97 |
| OH | 283 | $10,073.11 | $7,222.99 |
| OK | 144 | $9,663.89 | $7,525.61 |
| OR | 63 | $11,820.87 | $9,151.59 |
| PA | 566 | $10,389.32 | $7,737.78 |
| RI | 30 | $13,046.99 | $8,406.56 |
| SC | 152 | $10,657.08 | $7,611.72 |
| SD | 66 | $9,448.74 | $7,198.27 |
| TN | 163 | $9,609.51 | $6,829.51 |
| TX | 490 | $10,428.11 | $8,126.72 |
| UT | 38 | $11,942.75 | $8,963.85 |
| VA | 249 | $10,104.51 | $7,113.08 |
| VT | 18 | $7,704.56 | $4,324.28 |
| WA | 183 | $11,184.99 | $7,937.09 |
| WI | 105 | $10,511.22 | $7,851.87 |
| WV | 83 | $9,354.85 | $6,361.58 |
| WY | 16 | $10,080.38 | $8,712.75 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.0944 | 3.0 | No |
| 2024-10-01 | 1.0845 | 3.0 | No |
| 2023-10-01 | 1.0868 | 3.1 | No |
| 2022-10-01 | 1.0996 | 3.0 | No |
| 2021-10-01 | 1.0775 | 3.0 | No |
| 2020-10-01 | 1.0768 | 3.0 | No |
| 2019-10-01 | 1.0745 | 3.1 | No |
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