MS-DRG 451
SINGLE LEVEL SPINAL FUSION
Relative Weight
3.2304
Geometric Mean LOS
2.4 Days
Arithmetic Mean LOS
3.1 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 650 | $144,442.54 | $30,312.37 | $25,481.96 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 23 | $25,300.03 | $18,755.68 |
| CA | 83 | $34,300.00 | $30,742.29 |
| DC | 22 | $41,267.91 | $30,613.64 |
| FL | 32 | $26,872.27 | $20,317.60 |
| GA | 11 | $31,908.45 | $20,206.27 |
| IA | 13 | $28,882.15 | $26,088.31 |
| IL | 46 | $28,747.04 | $25,046.72 |
| IN | 24 | $25,920.83 | $23,875.50 |
| KS | 21 | $19,566.43 | $18,012.14 |
| MA | 30 | $38,478.27 | $32,761.03 |
| MD | 26 | $43,855.26 | $42,475.83 |
| MI | 19 | $28,489.95 | $23,825.00 |
| MN | 28 | $30,189.36 | $26,353.56 |
| NC | 41 | $25,183.86 | $22,671.51 |
| NE | 17 | $21,044.00 | $19,412.00 |
| NJ | 13 | $39,075.69 | $22,915.54 |
| NY | 51 | $46,363.71 | $33,437.35 |
| OH | 32 | $26,727.26 | $19,576.40 |
| OK | 18 | $21,276.00 | $18,115.39 |
| SC | 11 | $21,347.18 | $19,715.18 |
| TX | 62 | $22,977.87 | $20,325.81 |
| UT | 13 | $30,708.00 | $27,299.08 |
| VA | 14 | $24,231.14 | $22,704.86 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 3.2304 | 2.4 | No |
| 2024-10-01 | 3.0860 | 2.4 | No |
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