MS-DRG 919
COMPLICATIONS OF TREATMENT
Relative Weight
1.8308
Geometric Mean LOS
4.3 Days
Arithmetic Mean LOS
6.0 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 8,121 | $89,204.88 | $19,701.68 | $15,900.77 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 13 | $18,296.00 | $14,996.85 |
| AL | 71 | $16,074.76 | $12,026.96 |
| AR | 63 | $15,874.22 | $12,868.98 |
| AZ | 162 | $16,268.29 | $14,135.89 |
| CA | 927 | $25,219.95 | $20,905.42 |
| CO | 86 | $17,603.11 | $15,310.85 |
| CT | 84 | $23,887.11 | $18,664.75 |
| DC | 35 | $35,353.68 | $23,816.09 |
| DE | 61 | $15,718.29 | $14,147.46 |
| FL | 704 | $15,274.98 | $13,197.90 |
| GA | 161 | $20,108.82 | $14,888.90 |
| HI | 22 | $21,991.09 | $14,997.18 |
| IA | 74 | $14,468.79 | $11,631.55 |
| ID | 28 | $14,274.53 | $13,046.01 |
| IL | 451 | $20,065.32 | $14,858.63 |
| IN | 78 | $16,555.33 | $14,516.93 |
| KS | 97 | $16,006.02 | $12,291.77 |
| KY | 47 | $16,000.44 | $13,016.92 |
| LA | 24 | $13,518.59 | $10,913.00 |
| MA | 387 | $20,283.84 | $17,409.35 |
| MD | 100 | $25,965.28 | $23,925.26 |
| ME | 17 | $18,621.24 | $13,842.29 |
| MI | 199 | $18,122.92 | $14,824.43 |
| MN | 179 | $20,023.72 | $16,258.52 |
| MO | 161 | $17,104.46 | $13,964.49 |
| MS | 67 | $14,758.47 | $12,924.16 |
| MT | 31 | $15,725.77 | $11,358.60 |
| NC | 223 | $21,037.43 | $16,115.82 |
| ND | 27 | $15,216.81 | $13,127.37 |
| NE | 51 | $18,182.45 | $14,397.60 |
| NH | 25 | $23,945.64 | $17,750.24 |
| NJ | 379 | $18,643.14 | $15,501.71 |
| NM | 26 | $18,898.71 | $14,094.88 |
| NV | 90 | $19,832.91 | $15,511.81 |
| NY | 534 | $27,031.13 | $21,631.65 |
| OH | 305 | $16,915.72 | $13,732.03 |
| OK | 138 | $15,664.91 | $13,352.10 |
| OR | 94 | $19,312.84 | $16,240.15 |
| PA | 427 | $18,646.50 | $15,053.12 |
| RI | 30 | $25,069.94 | $14,479.32 |
| SC | 72 | $18,193.29 | $12,852.94 |
| SD | 18 | $14,457.39 | $13,232.94 |
| TN | 201 | $17,987.07 | $14,755.00 |
| TX | 576 | $17,893.93 | $14,229.39 |
| UT | 44 | $18,927.33 | $14,799.74 |
| VA | 232 | $18,440.78 | $13,883.76 |
| WA | 132 | $20,378.75 | $16,549.03 |
| WI | 135 | $22,308.78 | $16,607.33 |
| WV | 33 | $21,873.19 | $13,970.74 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.8308 | 4.3 | No |
| 2024-10-01 | 1.8236 | 4.4 | No |
| 2023-10-01 | 1.8247 | 4.4 | No |
| 2022-10-01 | 1.7936 | 4.3 | No |
| 2021-10-01 | 1.8441 | 4.3 | No |
| 2020-10-01 | 1.8344 | 4.2 | No |
| 2019-10-01 | 1.8253 | 4.3 | No |
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