MS-DRG 694
URINARY STONES WITHOUT MCC
Relative Weight
0.7817
Geometric Mean LOS
2.1 Days
Arithmetic Mean LOS
2.7 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 783 | $44,991.25 | $8,024.08 | $5,681.49 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| CA | 35 | $8,732.26 | $7,325.34 |
| DE | 16 | $7,313.81 | $5,443.06 |
| FL | 251 | $7,048.07 | $4,913.40 |
| IL | 29 | $8,983.51 | $5,240.95 |
| IN | 16 | $6,592.13 | $5,319.25 |
| MA | 48 | $8,274.85 | $5,521.44 |
| MD | 46 | $11,580.96 | $10,048.53 |
| MI | 25 | $7,846.76 | $5,224.06 |
| MN | 15 | $6,587.60 | $5,112.73 |
| NC | 13 | $10,689.62 | $6,965.92 |
| NJ | 40 | $7,899.54 | $5,019.73 |
| NV | 26 | $8,558.20 | $5,686.23 |
| NY | 126 | $9,816.52 | $7,125.71 |
| OH | 12 | $6,003.83 | $4,679.50 |
| PA | 12 | $6,123.42 | $4,169.92 |
| TX | 14 | $8,546.71 | $4,421.00 |
| VA | 26 | $6,454.41 | $4,018.40 |
| VT | 11 | $4,913.36 | $2,499.27 |
| WV | 22 | $5,426.68 | $3,938.59 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.7817 | 2.1 | No |
| 2024-10-01 | 0.7814 | 2.1 | No |
| 2023-10-01 | 0.7827 | 2.1 | No |
| 2022-10-01 | 0.7971 | 2.0 | No |
| 2021-10-01 | 0.7712 | 2.1 | No |
| 2020-10-01 | 0.7293 | 2.1 | No |
| 2019-10-01 | 0.7404 | 2.1 | No |
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