MS-DRG 457

SPINAL FUSION EXCEPT CERVI

Relative Weight 5.9631

Geometric Mean LOS 4.8 Days

Arithmetic Mean LOS 5.9 Days

National Average Medicare Payments (FY 2024)

Discharges	Avg Submitted Covered Charge	Avg Total Payment	Avg Medicare Payment
1,710	$330,581.16	$63,116.43	$54,034.18

State	Discharges	Avg Total Payment	Avg Medicare Payment
AZ	35	$55,091.49	$47,652.64
CA	228	$81,412.24	$71,697.93
CO	38	$54,436.35	$49,062.65
DC	23	$73,172.83	$56,695.83
DE	11	$55,840.09	$53,577.18
FL	100	$50,270.57	$43,741.94
GA	15	$68,694.60	$45,063.53
IA	38	$59,841.97	$46,197.84
IL	57	$64,886.65	$59,966.61
KS	29	$38,024.99	$36,547.69
KY	15	$58,021.47	$56,359.13
MA	133	$66,186.10	$60,644.58
MD	69	$100,851.69	$95,773.28
MI	60	$57,788.11	$45,173.91
MN	50	$60,905.84	$52,480.03
MO	25	$81,390.12	$57,370.56
NC	59	$66,707.89	$47,857.89
NE	11	$56,446.82	$43,857.82
NY	120	$82,633.46	$67,787.36
OH	68	$54,007.16	$46,535.30
OK	61	$59,770.28	$52,469.70
PA	63	$59,684.56	$50,993.90
RI	16	$55,379.13	$53,114.38
SC	24	$58,832.42	$52,448.50
TN	88	$51,294.89	$44,027.61
TX	164	$58,194.86	$49,335.64
UT	26	$54,564.08	$47,956.42
VA	69	$58,956.29	$48,130.59
WA	15	$65,822.00	$53,713.67

Effective Date	Weight	GMLOS	Post Acute Care
2025-10-01	5.9631	4.8	No
2024-10-01	5.7394	5.0	No
2023-10-01	6.0753	5.3	No
2022-10-01	6.0368	5.2	No
2021-10-01	6.4959	5.2	No
2020-10-01	6.5020	5.2	No
2019-10-01	6.5133	5.3	No

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