MS-DRG 458
SPINAL FUSION EXCEPT CERVI
Relative Weight
4.1726
Geometric Mean LOS
2.4 Days
Arithmetic Mean LOS
2.8 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 119 | $187,559.52 | $37,730.33 | $31,636.86 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 11 | $29,527.09 | $27,863.00 |
| DC | 17 | $52,517.88 | $42,784.29 |
| FL | 12 | $32,140.50 | $30,423.50 |
| IN | 13 | $30,076.62 | $28,821.23 |
| NY | 31 | $59,819.58 | $42,597.61 |
| OH | 12 | $28,015.67 | $26,386.33 |
| OK | 23 | $32,014.96 | $22,582.09 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 4.1726 | 2.4 | No |
| 2024-10-01 | 4.3180 | 2.6 | No |
| 2023-10-01 | 4.5310 | 3.0 | No |
| 2022-10-01 | 4.8131 | 2.8 | No |
| 2021-10-01 | 5.0076 | 3.0 | No |
| 2020-10-01 | 5.0174 | 3.0 | No |
| 2019-10-01 | 4.6939 | 2.9 | No |
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