MS-DRG 464
WOUND DEBRIDEMENT AND SKIN
Relative Weight
3.1147
Geometric Mean LOS
5.5 Days
Arithmetic Mean LOS
7.3 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 2,034 | $168,307.75 | $32,344.52 | $26,255.88 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 26 | $29,922.77 | $20,199.27 |
| AZ | 38 | $29,574.08 | $25,095.63 |
| CA | 223 | $45,254.09 | $35,463.59 |
| CO | 17 | $48,501.53 | $27,888.82 |
| CT | 12 | $31,976.25 | $27,817.33 |
| DC | 34 | $43,172.25 | $30,184.32 |
| DE | 22 | $24,500.50 | $22,602.18 |
| FL | 153 | $23,604.71 | $20,015.16 |
| GA | 24 | $24,794.50 | $21,342.63 |
| IA | 27 | $25,325.58 | $21,043.31 |
| IL | 46 | $31,097.89 | $26,904.05 |
| IN | 32 | $30,844.56 | $26,209.84 |
| KS | 46 | $26,870.44 | $19,261.03 |
| KY | 11 | $18,378.73 | $17,000.91 |
| LA | 14 | $24,608.14 | $19,445.29 |
| MA | 90 | $39,640.88 | $31,423.32 |
| MD | 55 | $59,206.69 | $54,757.79 |
| MI | 16 | $35,638.25 | $25,313.81 |
| MN | 57 | $42,884.82 | $28,130.74 |
| MO | 21 | $31,664.67 | $23,760.10 |
| MS | 26 | $22,210.50 | $18,578.18 |
| MT | 13 | $24,673.38 | $23,338.38 |
| NC | 70 | $23,849.77 | $21,465.79 |
| NE | 29 | $26,473.86 | $23,042.23 |
| NH | 17 | $56,173.18 | $42,843.88 |
| NJ | 35 | $30,146.95 | $26,124.63 |
| NY | 183 | $41,564.27 | $33,094.43 |
| OH | 77 | $25,278.06 | $21,614.56 |
| OK | 54 | $24,784.70 | $19,589.63 |
| OR | 12 | $39,287.17 | $32,786.42 |
| PA | 161 | $30,352.68 | $25,163.50 |
| SC | 28 | $29,874.93 | $22,113.86 |
| SD | 25 | $22,921.22 | $21,566.01 |
| TN | 22 | $37,754.68 | $19,811.14 |
| TX | 192 | $28,121.30 | $23,682.18 |
| UT | 11 | $35,325.36 | $30,539.36 |
| VA | 60 | $26,335.58 | $21,400.21 |
| WA | 12 | $33,776.08 | $27,910.75 |
| WI | 25 | $31,025.93 | $23,507.12 |
| WV | 18 | $34,791.56 | $18,840.72 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 3.1147 | 5.5 | Yes |
| 2024-10-01 | 2.9486 | 5.5 | Yes |
| 2023-10-01 | 3.0014 | 5.6 | Yes |
| 2022-10-01 | 2.9872 | 5.5 | Yes |
| 2021-10-01 | 2.9759 | 5.5 | Yes |
| 2020-10-01 | 2.9745 | 5.5 | Yes |
| 2019-10-01 | 2.9527 | 5.3 | Yes |
Automate Your DRG Pricing
Bedrock Billing offers the industry's fastest enterprise API for MS-DRG grouping, pricing, and claims analysis.
Try Bedrock Billing for Free