MS-DRG 866
VIRAL ILLNESS WITHOUT MCC
Relative Weight
0.8696
Geometric Mean LOS
2.7 Days
Arithmetic Mean LOS
3.5 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 536 | $53,012.41 | $11,624.50 | $7,566.68 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AZ | 13 | $15,203.69 | $6,226.23 |
| CA | 12 | $19,392.67 | $10,356.75 |
| CT | 19 | $13,840.00 | $8,172.74 |
| DE | 15 | $8,868.00 | $6,615.73 |
| FL | 36 | $9,401.79 | $6,475.59 |
| IL | 32 | $10,335.27 | $6,046.54 |
| KS | 15 | $12,073.53 | $7,448.27 |
| MA | 45 | $10,699.86 | $8,454.92 |
| MD | 14 | $12,320.64 | $10,229.36 |
| MI | 23 | $8,949.72 | $6,343.84 |
| MO | 14 | $12,851.93 | $5,802.21 |
| NC | 22 | $11,835.45 | $8,139.36 |
| NJ | 33 | $11,204.22 | $7,270.86 |
| NY | 142 | $12,598.91 | $8,390.86 |
| OH | 13 | $13,626.62 | $8,845.38 |
| PA | 50 | $9,049.07 | $6,688.74 |
| TN | 12 | $12,883.67 | $7,606.75 |
| VA | 15 | $15,501.73 | $7,864.20 |
| WI | 11 | $10,565.00 | $6,830.64 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.8696 | 2.7 | No |
| 2024-10-01 | 0.8848 | 2.7 | No |
| 2023-10-01 | 0.9177 | 2.8 | No |
| 2022-10-01 | 0.8997 | 2.8 | No |
| 2021-10-01 | 0.8390 | 2.7 | No |
| 2020-10-01 | 0.8372 | 2.7 | No |
| 2019-10-01 | 0.8187 | 2.7 | No |
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