MS-DRG 555
SIGNS AND SYMPTOMS OF MUSC
Relative Weight
1.3218
Geometric Mean LOS
3.8 Days
Arithmetic Mean LOS
5.2 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 75 | $72,115.77 | $14,336.58 | $12,373.67 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| CA | 20 | $14,780.15 | $13,556.15 |
| FL | 13 | $11,410.77 | $10,016.15 |
| NY | 27 | $17,031.33 | $14,077.26 |
| PA | 15 | $11,429.33 | $10,141.53 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.3218 | 3.8 | No |
| 2024-10-01 | 1.3466 | 3.8 | No |
| 2023-10-01 | 1.3990 | 3.9 | No |
| 2022-10-01 | 1.3312 | 3.7 | No |
| 2021-10-01 | 1.3685 | 3.8 | No |
| 2020-10-01 | 1.3628 | 3.8 | No |
| 2019-10-01 | 1.3153 | 3.7 | No |
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