MS-DRG 597
MALIGNANT BREAST DISORDERS
Relative Weight
1.6671
Geometric Mean LOS
4.7 Days
Arithmetic Mean LOS
6.5 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 35 | $121,210.20 | $18,071.66 | $13,326.10 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| FL | 12 | $19,768.92 | $10,444.50 |
| IN | 12 | $12,902.50 | $12,074.17 |
| NY | 11 | $21,543.55 | $17,459.64 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.6671 | 4.7 | No |
| 2024-10-01 | 1.7567 | 4.8 | No |
| 2023-10-01 | 1.6005 | 4.7 | No |
| 2022-10-01 | 1.6840 | 4.8 | No |
| 2021-10-01 | 1.6440 | 4.6 | No |
| 2020-10-01 | 1.6367 | 4.6 | No |
| 2019-10-01 | 1.6929 | 4.8 | No |
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