MS-DRG 556
SIGNS AND SYMPTOMS OF MUSC
Relative Weight
0.8306
Geometric Mean LOS
2.7 Days
Arithmetic Mean LOS
3.3 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 2,688 | $44,944.66 | $8,625.61 | $6,643.69 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 24 | $6,795.58 | $5,175.46 |
| AZ | 47 | $6,546.51 | $5,292.03 |
| CA | 208 | $10,027.76 | $8,103.04 |
| DE | 23 | $7,900.35 | $6,356.26 |
| FL | 276 | $6,867.37 | $5,118.24 |
| GA | 11 | $9,480.09 | $7,243.64 |
| IA | 13 | $6,697.69 | $4,281.62 |
| IL | 99 | $8,433.54 | $5,680.53 |
| KS | 35 | $8,149.86 | $6,067.82 |
| KY | 14 | $6,243.86 | $5,113.29 |
| MA | 104 | $7,492.57 | $5,930.19 |
| MD | 156 | $13,028.29 | $11,858.57 |
| MI | 155 | $7,397.23 | $5,699.58 |
| MN | 43 | $7,319.69 | $5,619.80 |
| MO | 46 | $6,627.14 | $5,287.23 |
| NC | 40 | $10,057.26 | $5,689.81 |
| NE | 11 | $6,477.00 | $5,016.27 |
| NJ | 156 | $7,663.04 | $6,184.14 |
| NV | 38 | $8,635.74 | $7,077.11 |
| NY | 453 | $10,470.31 | $7,626.71 |
| OH | 56 | $6,967.89 | $5,428.35 |
| OK | 11 | $6,261.73 | $4,778.09 |
| PA | 503 | $7,784.53 | $5,814.20 |
| SD | 12 | $7,257.75 | $5,424.75 |
| TN | 12 | $7,356.92 | $5,588.17 |
| TX | 62 | $7,283.78 | $5,999.12 |
| VA | 42 | $6,518.94 | $4,897.72 |
| WI | 38 | $9,548.82 | $5,537.85 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.8306 | 2.7 | No |
| 2024-10-01 | 0.8165 | 2.5 | No |
| 2023-10-01 | 0.8244 | 2.6 | No |
| 2022-10-01 | 0.8080 | 2.5 | No |
| 2021-10-01 | 0.8087 | 2.6 | No |
| 2020-10-01 | 0.8063 | 2.6 | No |
| 2019-10-01 | 0.7918 | 2.6 | No |
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