MS-DRG 638
DIABETES WITH CC
Relative Weight
0.8962
Geometric Mean LOS
2.9 Days
Arithmetic Mean LOS
3.7 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 26,317 | $42,557.82 | $9,133.21 | $6,942.13 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 39 | $10,263.35 | $8,646.35 |
| AL | 403 | $7,618.87 | $5,338.75 |
| AR | 235 | $7,119.02 | $5,219.61 |
| AZ | 367 | $8,586.69 | $6,540.30 |
| CA | 2,288 | $11,097.30 | $9,086.85 |
| CO | 85 | $8,669.21 | $6,314.93 |
| CT | 286 | $9,585.47 | $7,308.01 |
| DC | 81 | $12,526.60 | $8,399.30 |
| DE | 155 | $8,237.60 | $6,031.46 |
| FL | 2,501 | $8,050.61 | $6,217.32 |
| GA | 644 | $9,657.23 | $6,960.94 |
| HI | 38 | $10,892.80 | $8,806.18 |
| IA | 156 | $7,028.89 | $5,417.65 |
| ID | 73 | $7,964.32 | $6,000.53 |
| IL | 1,279 | $8,720.59 | $6,208.38 |
| IN | 595 | $7,473.35 | $5,750.49 |
| KS | 199 | $7,488.65 | $5,556.96 |
| KY | 322 | $6,987.65 | $5,258.94 |
| LA | 282 | $7,608.40 | $5,280.40 |
| MA | 1,214 | $9,185.88 | $7,223.99 |
| MD | 883 | $12,331.14 | $10,714.63 |
| ME | 60 | $11,031.03 | $5,903.35 |
| MI | 888 | $8,103.31 | $6,002.32 |
| MN | 325 | $8,621.88 | $6,126.72 |
| MO | 532 | $8,027.09 | $5,985.58 |
| MS | 275 | $7,177.09 | $5,429.91 |
| MT | 60 | $7,839.95 | $6,195.72 |
| NC | 869 | $8,367.65 | $6,159.14 |
| ND | 52 | $7,525.85 | $5,842.07 |
| NE | 115 | $8,002.16 | $5,942.65 |
| NH | 118 | $8,207.42 | $6,408.20 |
| NJ | 1,138 | $9,986.13 | $7,258.92 |
| NM | 105 | $8,876.61 | $7,113.68 |
| NV | 289 | $9,039.22 | $6,952.91 |
| NY | 1,906 | $11,953.45 | $8,871.16 |
| OH | 1,135 | $7,701.59 | $5,434.37 |
| OK | 330 | $7,729.78 | $6,065.14 |
| OR | 143 | $9,482.25 | $7,165.58 |
| PA | 1,240 | $8,319.71 | $6,047.04 |
| RI | 81 | $10,401.20 | $6,953.05 |
| SC | 492 | $7,941.86 | $5,862.43 |
| SD | 77 | $8,294.80 | $6,471.33 |
| TN | 528 | $7,538.13 | $5,547.29 |
| TX | 1,784 | $10,926.55 | $8,904.77 |
| UT | 86 | $8,588.23 | $6,548.70 |
| VA | 762 | $8,119.13 | $5,801.09 |
| VT | 43 | $6,142.27 | $4,399.46 |
| WA | 299 | $9,084.49 | $6,511.14 |
| WI | 224 | $8,261.61 | $6,073.67 |
| WV | 181 | $7,340.79 | $5,130.37 |
| WY | 55 | $9,016.36 | $7,654.93 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.8962 | 2.9 | Yes |
| 2024-10-01 | 0.9172 | 3.0 | Yes |
| 2023-10-01 | 0.8994 | 3.0 | Yes |
| 2022-10-01 | 0.8760 | 2.9 | Yes |
| 2021-10-01 | 0.8794 | 2.9 | Yes |
| 2020-10-01 | 0.8794 | 2.9 | Yes |
| 2019-10-01 | 0.8841 | 2.9 | Yes |
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