MS-DRG 640
MISCELLANEOUS DISORDERS OF
Relative Weight
1.3356
Geometric Mean LOS
3.6 Days
Arithmetic Mean LOS
5.0 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 73,514 | $57,770.14 | $12,463.58 | $10,463.39 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 126 | $16,224.55 | $14,139.13 |
| AL | 1,047 | $10,446.33 | $8,087.43 |
| AR | 708 | $9,742.18 | $8,263.50 |
| AZ | 1,209 | $11,844.95 | $9,983.78 |
| CA | 9,630 | $15,556.92 | $13,673.34 |
| CO | 680 | $11,774.21 | $9,901.33 |
| CT | 778 | $13,979.99 | $11,919.37 |
| DC | 304 | $16,955.38 | $12,824.68 |
| DE | 315 | $11,821.18 | $10,072.87 |
| FL | 5,862 | $10,716.26 | $9,209.08 |
| GA | 2,499 | $12,184.11 | $9,931.56 |
| HI | 234 | $15,444.37 | $12,947.14 |
| IA | 536 | $10,105.63 | $8,233.75 |
| ID | 255 | $11,390.90 | $9,721.96 |
| IL | 3,212 | $12,571.75 | $10,424.38 |
| IN | 1,435 | $10,912.40 | $9,179.50 |
| KS | 649 | $9,915.10 | $8,306.21 |
| KY | 937 | $10,027.95 | $8,355.73 |
| LA | 1,071 | $10,071.58 | $8,469.77 |
| MA | 2,094 | $13,153.33 | $11,093.63 |
| MD | 1,619 | $18,095.47 | $16,610.55 |
| ME | 130 | $12,900.29 | $10,224.07 |
| MI | 2,061 | $11,664.08 | $9,552.55 |
| MN | 902 | $12,721.76 | $10,408.03 |
| MO | 1,528 | $11,058.85 | $9,331.07 |
| MS | 1,070 | $9,919.52 | $8,603.07 |
| MT | 185 | $10,438.97 | $8,825.11 |
| NC | 2,268 | $11,500.78 | $9,371.04 |
| ND | 229 | $10,771.38 | $9,120.31 |
| NE | 363 | $11,855.44 | $9,746.95 |
| NH | 270 | $11,197.90 | $9,664.97 |
| NJ | 2,449 | $13,560.80 | $11,336.88 |
| NM | 369 | $10,906.59 | $9,434.11 |
| NV | 857 | $12,385.21 | $10,557.35 |
| NY | 4,328 | $17,932.54 | $14,228.36 |
| OH | 2,342 | $10,739.39 | $8,772.97 |
| OK | 1,039 | $10,317.94 | $8,769.04 |
| OR | 578 | $13,795.64 | $12,013.90 |
| PA | 2,682 | $11,524.38 | $9,442.88 |
| RI | 194 | $13,077.48 | $10,493.53 |
| SC | 1,451 | $10,567.26 | $8,636.44 |
| SD | 216 | $10,913.00 | $9,394.61 |
| TN | 1,554 | $10,028.28 | $8,201.04 |
| TX | 6,342 | $12,741.07 | $11,089.78 |
| UT | 270 | $11,555.18 | $9,296.38 |
| VA | 2,041 | $11,325.47 | $8,895.21 |
| VT | 76 | $8,527.77 | $5,264.82 |
| WA | 1,225 | $12,595.05 | $10,249.07 |
| WI | 800 | $11,113.99 | $8,886.04 |
| WV | 419 | $10,115.26 | $8,261.85 |
| WY | 76 | $13,601.74 | $12,001.51 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.3356 | 3.6 | Yes |
| 2024-10-01 | 1.3280 | 3.6 | Yes |
| 2023-10-01 | 1.3152 | 3.6 | Yes |
| 2022-10-01 | 1.2653 | 3.4 | Yes |
| 2021-10-01 | 1.2308 | 3.3 | Yes |
| 2020-10-01 | 1.2278 | 3.3 | Yes |
| 2019-10-01 | 1.2142 | 3.3 | Yes |
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