MS-DRG 028
SPINAL PROCEDURES WITH MCC
Relative Weight
6.0083
Geometric Mean LOS
9.5 Days
Arithmetic Mean LOS
12.2 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 192 | $263,946.46 | $68,872.83 | $60,297.54 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| CA | 26 | $76,487.50 | $71,506.93 |
| IN | 12 | $56,486.17 | $52,867.50 |
| MD | 13 | $112,908.00 | $111,778.15 |
| MN | 13 | $78,241.92 | $59,087.69 |
| NC | 11 | $60,482.64 | $48,930.27 |
| NV | 11 | $46,810.64 | $37,563.55 |
| NY | 17 | $79,839.76 | $74,289.29 |
| OH | 14 | $46,320.64 | $44,235.29 |
| PA | 12 | $77,561.42 | $54,555.75 |
| RI | 11 | $63,479.73 | $56,312.00 |
| SC | 13 | $81,129.69 | $64,177.85 |
| TX | 24 | $50,974.16 | $43,449.78 |
| WA | 15 | $74,908.53 | $70,752.33 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 6.0083 | 9.5 | Yes |
| 2024-10-01 | 6.0795 | 9.8 | Yes |
| 2023-10-01 | 6.0261 | 10.2 | Yes |
| 2022-10-01 | 5.8775 | 9.8 | Yes |
| 2021-10-01 | 5.8231 | 9.3 | Yes |
| 2020-10-01 | 5.8200 | 9.3 | Yes |
| 2019-10-01 | 5.5904 | 8.9 | Yes |
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