MS-DRG 862
POSTOPERATIVE AND POST-TRA
Relative Weight
1.8237
Geometric Mean LOS
5.0 Days
Arithmetic Mean LOS
6.6 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 5,074 | $85,934.05 | $19,510.97 | $15,557.27 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 12 | $17,407.75 | $16,602.58 |
| AL | 69 | $14,884.67 | $11,664.09 |
| AR | 53 | $16,531.48 | $14,272.89 |
| AZ | 158 | $16,149.70 | $13,077.94 |
| CA | 462 | $25,584.09 | $20,341.75 |
| CO | 68 | $15,892.64 | $13,961.68 |
| CT | 28 | $20,811.44 | $18,549.53 |
| DC | 16 | $22,140.88 | $18,311.81 |
| DE | 21 | $16,891.86 | $15,182.81 |
| FL | 472 | $16,316.96 | $13,764.68 |
| GA | 108 | $19,782.53 | $14,009.13 |
| HI | 11 | $30,916.45 | $21,971.18 |
| ID | 24 | $13,836.91 | $12,136.75 |
| IL | 216 | $19,926.62 | $14,423.78 |
| IN | 92 | $15,305.06 | $13,496.47 |
| KS | 76 | $17,032.61 | $13,381.96 |
| KY | 65 | $18,870.79 | $13,007.04 |
| LA | 23 | $17,607.28 | $12,568.26 |
| MA | 250 | $21,230.82 | $17,862.12 |
| MD | 147 | $35,774.39 | $33,924.21 |
| ME | 25 | $16,827.88 | $14,483.92 |
| MI | 111 | $19,738.97 | $14,184.73 |
| MN | 130 | $20,022.78 | $15,377.64 |
| MO | 56 | $16,161.76 | $12,342.48 |
| MS | 54 | $13,406.57 | $11,833.80 |
| MT | 26 | $14,910.37 | $13,873.66 |
| NC | 114 | $19,259.52 | $13,909.60 |
| ND | 28 | $15,258.30 | $13,932.26 |
| NE | 46 | $17,398.84 | $13,667.73 |
| NH | 13 | $22,042.15 | $18,718.31 |
| NJ | 231 | $20,165.31 | $16,800.49 |
| NM | 32 | $18,183.51 | $13,681.92 |
| NV | 37 | $17,505.62 | $15,186.94 |
| NY | 324 | $24,131.18 | $18,348.33 |
| OH | 183 | $16,203.99 | $12,077.97 |
| OK | 101 | $17,077.18 | $13,852.83 |
| OR | 49 | $22,555.81 | $17,264.92 |
| PA | 205 | $18,048.24 | $14,643.10 |
| RI | 14 | $29,055.86 | $13,813.71 |
| SC | 111 | $16,439.98 | $12,188.88 |
| SD | 37 | $16,134.48 | $14,977.65 |
| TN | 163 | $16,384.03 | $12,458.85 |
| TX | 260 | $16,743.81 | $12,621.89 |
| UT | 26 | $19,834.69 | $14,782.54 |
| VA | 148 | $18,615.02 | $13,838.78 |
| VT | 19 | $15,977.89 | $8,755.47 |
| WA | 70 | $18,125.29 | $15,161.14 |
| WI | 79 | $19,072.28 | $14,371.07 |
| WY | 11 | $17,141.64 | $16,864.73 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.8237 | 5.0 | Yes |
| 2024-10-01 | 1.8387 | 5.1 | Yes |
| 2023-10-01 | 1.8420 | 5.1 | Yes |
| 2022-10-01 | 1.8291 | 5.0 | Yes |
| 2021-10-01 | 1.8967 | 5.0 | Yes |
| 2020-10-01 | 1.8788 | 5.0 | Yes |
| 2019-10-01 | 1.8506 | 5.0 | Yes |
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