MS-DRG 951
OTHER FACTORS INFLUENCING
Relative Weight
0.5560
Geometric Mean LOS
1.8 Days
Arithmetic Mean LOS
2.6 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 3,008 | $25,078.47 | $5,909.31 | $4,498.47 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 74 | $7,988.12 | $6,659.41 |
| AL | 28 | $4,482.41 | $3,845.82 |
| AZ | 14 | $5,985.50 | $4,655.86 |
| CA | 146 | $6,667.28 | $5,498.00 |
| CT | 55 | $6,552.36 | $5,498.91 |
| DE | 15 | $5,427.27 | $4,653.40 |
| FL | 73 | $7,196.97 | $5,975.57 |
| HI | 16 | $7,014.75 | $5,479.13 |
| IA | 36 | $4,416.92 | $3,193.03 |
| ID | 25 | $5,516.87 | $4,183.19 |
| IL | 76 | $6,002.89 | $4,418.92 |
| IN | 39 | $5,111.36 | $3,952.73 |
| KS | 11 | $5,253.45 | $4,029.64 |
| KY | 55 | $4,183.56 | $3,015.33 |
| MA | 135 | $6,527.38 | $5,094.58 |
| MD | 87 | $4,934.73 | $4,106.02 |
| ME | 56 | $5,556.64 | $4,240.81 |
| MI | 24 | $5,730.07 | $4,516.34 |
| MN | 24 | $7,381.33 | $4,204.85 |
| MO | 63 | $4,860.64 | $3,907.08 |
| MT | 39 | $4,868.56 | $3,666.39 |
| NC | 281 | $5,657.48 | $4,290.15 |
| NH | 47 | $5,383.14 | $4,274.63 |
| NJ | 85 | $5,877.70 | $4,335.10 |
| NV | 15 | $5,487.27 | $4,508.07 |
| NY | 582 | $6,945.41 | $5,133.88 |
| OK | 41 | $5,216.88 | $4,217.13 |
| OR | 50 | $6,489.58 | $4,862.22 |
| PA | 65 | $4,956.91 | $3,716.26 |
| SC | 63 | $5,336.83 | $4,142.73 |
| TX | 16 | $5,654.81 | $4,777.88 |
| VA | 32 | $4,548.35 | $3,480.31 |
| VT | 34 | $4,515.10 | $2,505.36 |
| WA | 518 | $5,907.57 | $4,289.31 |
| WI | 54 | $4,899.65 | $3,712.36 |
| WV | 34 | $5,482.91 | $3,086.71 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.5560 | 1.8 | No |
| 2024-10-01 | 0.5670 | 1.8 | No |
| 2023-10-01 | 0.5900 | 1.8 | No |
| 2022-10-01 | 0.5692 | 1.8 | No |
| 2021-10-01 | 0.5596 | 1.8 | No |
| 2020-10-01 | 0.5582 | 1.8 | No |
| 2019-10-01 | 0.5865 | 1.9 | No |
Automate Your DRG Pricing
Bedrock Billing offers the industry's fastest enterprise API for MS-DRG grouping, pricing, and claims analysis.
Try Bedrock Billing for Free