MS-DRG 456
SPINAL FUSION EXCEPT CERVI
Relative Weight
8.4034
Geometric Mean LOS
9.4 Days
Arithmetic Mean LOS
11.5 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 318 | $534,203.00 | $120,826.23 | $101,390.40 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| CA | 111 | $136,764.10 | $126,481.33 |
| CO | 15 | $100,023.93 | $90,519.20 |
| DC | 11 | $106,008.09 | $95,887.27 |
| MA | 56 | $96,882.69 | $81,396.51 |
| MD | 14 | $126,230.14 | $125,297.57 |
| MO | 24 | $114,810.21 | $91,485.92 |
| NY | 31 | $148,930.68 | $110,384.14 |
| OH | 12 | $127,632.50 | $40,408.50 |
| OR | 19 | $119,085.16 | $108,366.68 |
| PA | 12 | $98,670.50 | $75,611.17 |
| UT | 13 | $86,138.15 | $80,092.46 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 8.4034 | 9.4 | No |
| 2024-10-01 | 8.4692 | 10.1 | No |
| 2023-10-01 | 8.4294 | 10.6 | No |
| 2022-10-01 | 8.4492 | 9.7 | No |
| 2021-10-01 | 8.6000 | 9.5 | No |
| 2020-10-01 | 8.5981 | 9.5 | No |
| 2019-10-01 | 9.0812 | 9.7 | No |
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