MS-DRG 460
SPINAL FUSION EXCEPT CERVI
Relative Weight
3.6579
Geometric Mean LOS
2.8 Days
Arithmetic Mean LOS
3.5 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 18,008 | $167,776.06 | $33,336.46 | $27,339.09 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 59 | $46,473.30 | $37,146.37 |
| AL | 374 | $27,149.44 | $21,564.00 |
| AR | 136 | $25,336.62 | $23,064.62 |
| AZ | 474 | $32,388.87 | $27,039.60 |
| CA | 1,144 | $44,484.27 | $36,534.75 |
| CO | 192 | $31,628.73 | $25,978.58 |
| CT | 197 | $40,947.36 | $34,369.35 |
| DC | 215 | $39,186.36 | $33,314.71 |
| DE | 146 | $32,778.88 | $28,837.13 |
| FL | 1,270 | $28,708.80 | $24,997.99 |
| GA | 471 | $33,308.91 | $25,217.61 |
| HI | 29 | $45,398.14 | $30,669.17 |
| IA | 301 | $26,760.69 | $23,806.89 |
| ID | 96 | $30,930.43 | $26,587.05 |
| IL | 630 | $35,851.07 | $25,106.66 |
| IN | 527 | $32,940.63 | $28,012.66 |
| KS | 375 | $27,068.73 | $23,314.20 |
| KY | 163 | $34,474.81 | $28,794.77 |
| LA | 209 | $28,677.26 | $24,560.47 |
| MA | 645 | $37,424.65 | $31,975.24 |
| MD | 619 | $53,219.59 | $49,262.73 |
| ME | 14 | $26,573.71 | $24,788.14 |
| MI | 509 | $31,201.83 | $25,116.71 |
| MN | 283 | $33,117.66 | $26,445.42 |
| MO | 367 | $29,423.10 | $24,125.11 |
| MS | 86 | $26,545.00 | $20,901.51 |
| MT | 115 | $31,174.20 | $24,373.30 |
| NC | 581 | $29,489.92 | $24,850.48 |
| ND | 30 | $30,291.12 | $23,344.65 |
| NE | 172 | $28,644.98 | $24,078.24 |
| NH | 99 | $32,130.67 | $28,123.66 |
| NJ | 393 | $35,946.30 | $29,486.24 |
| NM | 45 | $36,828.95 | $28,175.54 |
| NV | 75 | $35,371.50 | $26,251.14 |
| NY | 826 | $41,582.93 | $32,114.72 |
| OH | 875 | $29,645.54 | $23,592.12 |
| OK | 422 | $26,839.52 | $23,886.20 |
| OR | 66 | $39,199.32 | $32,129.43 |
| PA | 971 | $30,709.35 | $26,411.07 |
| RI | 89 | $36,189.55 | $28,441.47 |
| SC | 441 | $31,046.99 | $24,644.24 |
| SD | 142 | $29,449.36 | $26,517.41 |
| TN | 489 | $30,001.98 | $21,979.66 |
| TX | 1,290 | $29,785.15 | $24,084.93 |
| UT | 228 | $30,572.66 | $25,835.05 |
| VA | 631 | $31,799.12 | $25,718.79 |
| VT | 35 | $26,442.26 | $15,506.51 |
| WA | 204 | $39,021.28 | $28,160.21 |
| WI | 177 | $33,264.48 | $25,318.17 |
| WV | 81 | $30,881.30 | $23,090.06 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2023-10-01 | 3.6579 | 2.8 | Yes |
| 2022-10-01 | 3.7660 | 2.8 | Yes |
| 2021-10-01 | 3.9307 | 2.7 | Yes |
| 2020-10-01 | 3.9327 | 2.7 | Yes |
| 2019-10-01 | 3.9604 | 2.8 | Yes |
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