MS-DRG 920
COMPLICATIONS OF TREATMENT
Relative Weight
1.0023
Geometric Mean LOS
2.8 Days
Arithmetic Mean LOS
3.7 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 5,288 | $51,006.67 | $11,046.68 | $8,350.49 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 14 | $10,138.14 | $8,942.43 |
| AL | 22 | $12,895.36 | $8,816.18 |
| AR | 34 | $9,178.42 | $6,904.45 |
| AZ | 155 | $10,388.52 | $7,728.49 |
| CA | 383 | $14,075.96 | $11,013.95 |
| CO | 29 | $10,122.48 | $8,610.44 |
| CT | 50 | $12,798.58 | $10,931.02 |
| DC | 39 | $17,757.37 | $10,090.67 |
| DE | 40 | $10,714.43 | $7,977.05 |
| FL | 660 | $9,111.42 | $7,384.73 |
| GA | 75 | $11,634.07 | $7,894.38 |
| IA | 38 | $9,306.16 | $7,606.75 |
| IL | 303 | $11,613.86 | $8,257.96 |
| IN | 95 | $9,540.40 | $7,581.76 |
| KS | 59 | $8,958.91 | $7,343.23 |
| KY | 78 | $8,619.59 | $6,695.00 |
| LA | 42 | $9,034.94 | $6,557.55 |
| MA | 263 | $11,909.27 | $9,402.81 |
| MD | 49 | $12,954.47 | $11,820.68 |
| MI | 190 | $10,228.95 | $7,340.44 |
| MN | 121 | $11,156.95 | $7,657.30 |
| MO | 86 | $9,469.79 | $6,941.60 |
| MS | 51 | $8,486.07 | $7,079.97 |
| NC | 163 | $12,829.24 | $8,935.05 |
| ND | 18 | $9,981.56 | $6,343.67 |
| NE | 52 | $11,233.71 | $8,814.91 |
| NH | 16 | $12,814.25 | $9,938.13 |
| NJ | 200 | $10,747.92 | $8,702.88 |
| NV | 11 | $11,517.64 | $9,816.00 |
| NY | 419 | $13,172.73 | $9,922.05 |
| OH | 167 | $10,288.24 | $7,513.83 |
| OK | 65 | $12,023.30 | $7,172.23 |
| OR | 29 | $14,004.23 | $9,545.70 |
| PA | 288 | $10,660.09 | $8,386.86 |
| RI | 29 | $11,670.56 | $9,407.04 |
| SC | 78 | $10,299.21 | $7,457.72 |
| SD | 42 | $8,618.95 | $7,113.87 |
| TN | 173 | $9,899.88 | $7,230.77 |
| TX | 313 | $10,684.68 | $8,487.85 |
| UT | 18 | $12,379.00 | $9,303.61 |
| VA | 119 | $9,877.48 | $7,450.83 |
| VT | 14 | $12,143.79 | $4,876.14 |
| WA | 60 | $11,986.15 | $8,158.52 |
| WI | 101 | $11,515.39 | $7,856.43 |
| WV | 37 | $9,867.46 | $6,986.53 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.0023 | 2.8 | No |
| 2024-10-01 | 1.0159 | 2.9 | No |
| 2023-10-01 | 1.0338 | 2.9 | No |
| 2022-10-01 | 1.0218 | 2.9 | No |
| 2021-10-01 | 1.0246 | 2.9 | No |
| 2020-10-01 | 1.0273 | 2.9 | No |
| 2019-10-01 | 1.0075 | 2.9 | No |
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