MS-DRG 637
DIABETES WITH MCC
Relative Weight
1.4367
Geometric Mean LOS
3.9 Days
Arithmetic Mean LOS
5.3 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 20,859 | $68,414.71 | $13,807.88 | $11,353.04 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 34 | $16,112.45 | $14,243.84 |
| AL | 247 | $11,223.25 | $8,922.40 |
| AR | 258 | $10,449.49 | $8,629.85 |
| AZ | 238 | $12,404.02 | $10,250.95 |
| CA | 2,205 | $17,004.78 | $14,628.41 |
| CO | 155 | $12,636.42 | $10,476.87 |
| CT | 222 | $16,676.46 | $13,821.11 |
| DC | 85 | $19,589.93 | $14,049.79 |
| DE | 123 | $13,306.57 | $10,993.91 |
| FL | 1,974 | $11,819.85 | $9,974.06 |
| GA | 718 | $13,610.77 | $10,937.89 |
| HI | 18 | $15,416.83 | $13,039.33 |
| IA | 103 | $11,293.41 | $9,381.84 |
| ID | 40 | $12,073.94 | $9,234.24 |
| IL | 936 | $12,896.16 | $10,360.51 |
| IN | 361 | $11,490.41 | $9,866.25 |
| KS | 179 | $11,366.22 | $9,372.74 |
| KY | 199 | $11,574.43 | $8,730.04 |
| LA | 178 | $10,522.82 | $8,532.17 |
| MA | 814 | $14,512.94 | $12,210.54 |
| MD | 539 | $21,369.62 | $19,482.07 |
| ME | 43 | $17,077.27 | $11,420.60 |
| MI | 657 | $13,082.78 | $10,570.05 |
| MN | 287 | $14,251.04 | $11,184.74 |
| MO | 443 | $12,474.67 | $9,921.96 |
| MS | 278 | $10,816.20 | $9,169.06 |
| MT | 34 | $11,303.99 | $10,223.04 |
| NC | 613 | $12,745.03 | $10,090.35 |
| ND | 12 | $12,795.08 | $10,922.17 |
| NE | 71 | $12,626.64 | $10,558.74 |
| NH | 103 | $13,288.49 | $10,338.29 |
| NJ | 830 | $14,425.60 | $11,956.86 |
| NM | 106 | $13,703.64 | $11,847.04 |
| NV | 300 | $13,002.51 | $11,316.94 |
| NY | 1,452 | $19,211.31 | $15,219.33 |
| OH | 689 | $12,451.83 | $9,726.58 |
| OK | 312 | $11,343.83 | $9,680.82 |
| OR | 126 | $15,185.75 | $12,356.50 |
| PA | 768 | $12,986.04 | $10,295.82 |
| RI | 54 | $16,135.69 | $12,151.22 |
| SC | 355 | $11,796.59 | $9,834.11 |
| SD | 56 | $12,495.88 | $10,501.02 |
| TN | 498 | $11,360.34 | $8,897.85 |
| TX | 1,703 | $12,387.52 | $10,321.51 |
| UT | 74 | $13,519.45 | $10,585.71 |
| VA | 646 | $12,986.56 | $9,964.90 |
| VT | 30 | $11,573.83 | $7,478.67 |
| WA | 322 | $14,355.97 | $11,372.63 |
| WI | 202 | $13,145.62 | $10,651.38 |
| WV | 144 | $11,441.55 | $8,620.37 |
| WY | 25 | $15,260.68 | $14,551.24 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.4367 | 3.9 | Yes |
| 2024-10-01 | 1.4563 | 4.0 | Yes |
| 2023-10-01 | 1.4493 | 4.1 | Yes |
| 2022-10-01 | 1.3957 | 3.9 | Yes |
| 2021-10-01 | 1.3766 | 3.8 | Yes |
| 2020-10-01 | 1.3747 | 3.8 | Yes |
| 2019-10-01 | 1.3857 | 3.8 | 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