MS-DRG 856
POSTOPERATIVE OR POST-TRAU
Relative Weight
4.5487
Geometric Mean LOS
9.1 Days
Arithmetic Mean LOS
12.1 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 2,662 | $224,887.25 | $49,000.62 | $39,027.88 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 28 | $62,682.76 | $56,208.96 |
| AR | 13 | $30,359.62 | $27,236.69 |
| AZ | 87 | $41,708.55 | $36,240.36 |
| CA | 216 | $76,150.88 | $57,437.70 |
| CO | 68 | $34,528.50 | $30,708.49 |
| CT | 33 | $78,760.80 | $43,147.73 |
| DC | 46 | $56,484.04 | $40,646.07 |
| DE | 20 | $44,023.80 | $41,060.45 |
| FL | 215 | $38,519.43 | $32,934.49 |
| GA | 77 | $46,750.03 | $31,258.59 |
| IA | 20 | $49,632.20 | $41,223.95 |
| IL | 140 | $52,565.18 | $39,306.14 |
| IN | 54 | $36,880.50 | $31,976.63 |
| KS | 50 | $41,517.46 | $30,177.25 |
| KY | 28 | $43,180.95 | $29,385.35 |
| LA | 11 | $36,183.91 | $29,174.27 |
| MA | 102 | $57,596.87 | $48,581.66 |
| MD | 72 | $56,190.88 | $55,024.23 |
| ME | 15 | $65,839.87 | $59,033.40 |
| MI | 25 | $40,541.53 | $31,682.85 |
| MN | 112 | $46,263.16 | $35,895.83 |
| MO | 68 | $45,699.70 | $40,151.24 |
| MS | 11 | $25,667.36 | $25,179.36 |
| NC | 53 | $46,128.17 | $30,975.29 |
| ND | 15 | $34,108.13 | $32,641.87 |
| NE | 30 | $37,551.60 | $33,576.23 |
| NJ | 45 | $49,382.53 | $37,348.04 |
| NM | 18 | $25,693.33 | $24,389.00 |
| NV | 25 | $40,701.66 | $38,493.63 |
| NY | 123 | $57,872.92 | $46,561.44 |
| OH | 140 | $42,600.09 | $34,782.50 |
| OK | 66 | $37,944.15 | $31,776.19 |
| OR | 15 | $71,560.47 | $60,031.47 |
| PA | 142 | $54,208.00 | $44,106.40 |
| SC | 59 | $50,979.26 | $37,330.12 |
| SD | 12 | $32,346.33 | $30,268.42 |
| TN | 46 | $38,942.92 | $30,785.64 |
| TX | 171 | $46,246.93 | $33,036.27 |
| UT | 26 | $41,867.79 | $39,155.29 |
| VA | 47 | $60,190.10 | $42,233.11 |
| VT | 14 | $39,904.14 | $26,283.93 |
| WA | 40 | $38,303.70 | $33,846.97 |
| WI | 38 | $50,887.39 | $39,844.77 |
| WV | 26 | $40,271.49 | $31,158.93 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 4.5487 | 9.1 | Yes |
| 2024-10-01 | 4.5116 | 9.2 | Yes |
| 2023-10-01 | 4.4284 | 9.4 | Yes |
| 2022-10-01 | 4.4127 | 9.0 | Yes |
| 2021-10-01 | 4.6639 | 9.2 | Yes |
| 2020-10-01 | 4.5457 | 9.0 | Yes |
| 2019-10-01 | 4.4257 | 9.0 | Yes |
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