MS-DRG 454
COMBINED ANTERIOR AND POST
Relative Weight
6.1163
Geometric Mean LOS
3.7 Days
Arithmetic Mean LOS
4.4 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 13,779 | $270,186.15 | $57,277.70 | $47,649.25 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 75 | $72,448.80 | $52,925.74 |
| AL | 190 | $42,723.95 | $37,584.28 |
| AR | 76 | $45,407.55 | $41,871.42 |
| AZ | 458 | $56,484.72 | $50,780.91 |
| CA | 1,512 | $72,758.94 | $65,296.93 |
| CO | 490 | $57,724.59 | $46,853.90 |
| CT | 149 | $74,901.57 | $50,593.80 |
| DC | 98 | $71,736.73 | $61,895.20 |
| DE | 56 | $55,636.86 | $48,161.25 |
| FL | 1,080 | $51,214.11 | $42,789.52 |
| GA | 304 | $59,577.35 | $43,610.27 |
| IA | 57 | $48,263.27 | $44,948.52 |
| ID | 132 | $51,832.95 | $47,061.25 |
| IL | 432 | $63,127.90 | $46,921.26 |
| IN | 235 | $50,797.38 | $44,104.21 |
| KS | 219 | $46,353.99 | $39,649.95 |
| KY | 161 | $57,946.77 | $43,687.89 |
| LA | 150 | $45,072.86 | $36,244.70 |
| MA | 323 | $63,771.55 | $56,981.25 |
| MD | 284 | $79,037.55 | $71,779.19 |
| MI | 345 | $54,838.21 | $44,218.94 |
| MN | 464 | $52,581.96 | $45,706.66 |
| MO | 247 | $49,505.16 | $41,084.71 |
| MS | 12 | $41,138.58 | $39,227.83 |
| MT | 30 | $53,789.55 | $52,226.41 |
| NC | 492 | $53,829.33 | $44,905.16 |
| ND | 66 | $45,783.22 | $42,753.04 |
| NE | 149 | $45,721.96 | $39,661.02 |
| NJ | 72 | $62,086.14 | $50,045.05 |
| NM | 11 | $71,656.73 | $70,259.45 |
| NV | 108 | $57,634.85 | $51,741.61 |
| NY | 643 | $69,770.95 | $56,209.84 |
| OH | 637 | $54,305.94 | $40,692.76 |
| OK | 229 | $50,884.29 | $44,390.95 |
| OR | 150 | $61,641.43 | $52,978.55 |
| PA | 563 | $56,049.92 | $47,097.45 |
| RI | 40 | $64,778.26 | $45,092.25 |
| SC | 214 | $51,038.57 | $43,281.14 |
| SD | 75 | $53,347.52 | $44,421.38 |
| TN | 433 | $48,508.97 | $40,195.41 |
| TX | 1,168 | $54,568.70 | $43,386.46 |
| UT | 177 | $48,437.31 | $43,553.81 |
| VA | 508 | $55,024.62 | $45,894.20 |
| VT | 12 | $52,122.83 | $22,782.67 |
| WA | 352 | $61,717.88 | $47,088.23 |
| WI | 88 | $56,482.80 | $46,452.63 |
| WV | 13 | $43,265.54 | $41,758.92 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2023-10-01 | 6.1163 | 3.7 | No |
| 2022-10-01 | 6.0909 | 3.7 | No |
| 2021-10-01 | 6.0931 | 3.8 | No |
| 2020-10-01 | 6.0981 | 3.8 | No |
| 2019-10-01 | 6.1250 | 3.9 | No |
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