MS-DRG 459
SPINAL FUSION EXCEPT CERVI
Relative Weight
6.6323
Geometric Mean LOS
7.6 Days
Arithmetic Mean LOS
9.8 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 388 | $345,242.75 | $67,099.97 | $58,187.23 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 14 | $52,320.71 | $44,215.57 |
| AZ | 11 | $49,461.36 | $47,829.27 |
| CA | 37 | $95,052.06 | $87,753.31 |
| CO | 11 | $55,034.82 | $51,126.55 |
| DC | 16 | $76,998.94 | $52,962.38 |
| DE | 14 | $63,852.71 | $60,603.93 |
| FL | 27 | $48,063.90 | $45,895.32 |
| IA | 12 | $57,626.08 | $52,548.75 |
| KY | 13 | $46,404.15 | $45,377.15 |
| MA | 30 | $64,585.33 | $56,261.55 |
| MD | 12 | $116,896.00 | $114,994.67 |
| MI | 14 | $45,717.86 | $42,629.00 |
| MN | 21 | $104,945.05 | $55,608.24 |
| MO | 13 | $81,281.62 | $73,614.69 |
| NY | 28 | $73,628.68 | $68,634.71 |
| OH | 23 | $52,468.71 | $44,924.70 |
| RI | 12 | $64,315.00 | $60,777.67 |
| SC | 15 | $47,590.07 | $45,419.67 |
| TN | 14 | $46,982.07 | $43,407.79 |
| TX | 12 | $47,236.75 | $46,073.67 |
| VA | 23 | $70,869.78 | $51,689.96 |
| WA | 16 | $91,375.69 | $62,615.63 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2023-10-01 | 6.6323 | 7.6 | Yes |
| 2022-10-01 | 6.6330 | 7.3 | Yes |
| 2021-10-01 | 6.7335 | 6.9 | Yes |
| 2020-10-01 | 6.7318 | 6.9 | Yes |
| 2019-10-01 | 6.8520 | 6.9 | Yes |
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