MS-DRG 455
COMBINED ANTERIOR AND POST
Relative Weight
4.6056
Geometric Mean LOS
2.3 Days
Arithmetic Mean LOS
2.7 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 10,551 | $205,697.23 | $41,512.54 | $34,282.46 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 34 | $67,175.13 | $42,188.38 |
| AL | 264 | $31,105.39 | $26,584.53 |
| AR | 98 | $32,022.05 | $30,266.80 |
| AZ | 476 | $40,123.39 | $34,330.23 |
| CA | 1,010 | $52,759.72 | $46,338.38 |
| CO | 281 | $42,906.24 | $37,576.57 |
| CT | 63 | $52,534.02 | $44,850.05 |
| DC | 71 | $52,116.52 | $43,128.96 |
| DE | 76 | $42,604.84 | $38,413.17 |
| FL | 776 | $39,200.29 | $32,542.70 |
| GA | 400 | $42,540.41 | $32,716.84 |
| IA | 27 | $31,855.10 | $28,080.70 |
| ID | 134 | $36,219.68 | $32,860.31 |
| IL | 212 | $42,589.41 | $34,527.44 |
| IN | 289 | $35,861.70 | $30,930.48 |
| KS | 173 | $33,617.37 | $27,228.50 |
| KY | 63 | $48,570.76 | $36,349.60 |
| LA | 368 | $30,653.38 | $27,499.69 |
| MA | 238 | $45,697.43 | $39,564.54 |
| MD | 125 | $58,351.90 | $53,445.08 |
| MI | 168 | $42,262.05 | $32,534.83 |
| MN | 100 | $47,847.69 | $33,983.42 |
| MO | 257 | $35,540.13 | $29,430.88 |
| MS | 37 | $31,496.47 | $27,863.17 |
| MT | 61 | $36,234.46 | $34,593.34 |
| NC | 498 | $39,013.26 | $32,164.94 |
| ND | 15 | $33,398.60 | $31,635.20 |
| NE | 158 | $31,892.82 | $28,860.73 |
| NJ | 71 | $45,901.64 | $38,264.74 |
| NM | 25 | $33,328.12 | $28,412.16 |
| NV | 94 | $45,654.36 | $34,895.84 |
| NY | 225 | $54,757.13 | $40,003.21 |
| OH | 230 | $39,796.92 | $30,363.25 |
| OK | 340 | $31,368.91 | $27,272.54 |
| OR | 101 | $47,486.31 | $36,870.06 |
| PA | 312 | $41,847.88 | $32,709.12 |
| RI | 27 | $47,329.85 | $32,572.96 |
| SC | 326 | $37,229.30 | $31,026.80 |
| SD | 77 | $31,746.79 | $29,773.30 |
| TN | 376 | $36,282.85 | $29,122.70 |
| TX | 837 | $37,957.59 | $29,135.56 |
| UT | 222 | $36,609.40 | $30,042.21 |
| VA | 425 | $39,809.29 | $32,715.86 |
| WA | 329 | $44,200.03 | $34,970.02 |
| WI | 25 | $38,883.65 | $36,842.70 |
| WV | 11 | $46,183.73 | $30,826.18 |
| WY | 26 | $73,892.00 | $72,260.00 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2023-10-01 | 4.6056 | 2.3 | No |
| 2022-10-01 | 4.7880 | 2.4 | No |
| 2021-10-01 | 4.7813 | 2.4 | No |
| 2020-10-01 | 4.7910 | 2.4 | No |
| 2019-10-01 | 4.8133 | 2.5 | No |
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