MS-DRG 472
CERVICAL SPINAL FUSION WIT
Relative Weight
2.9461
Geometric Mean LOS
2.5 Days
Arithmetic Mean LOS
3.5 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 11,118 | $138,547.74 | $27,267.67 | $22,046.64 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 81 | $32,820.87 | $22,477.42 |
| AL | 217 | $22,085.69 | $16,319.69 |
| AR | 130 | $20,871.47 | $18,546.32 |
| AZ | 300 | $26,192.06 | $22,410.89 |
| CA | 946 | $34,383.65 | $29,766.46 |
| CO | 220 | $26,125.61 | $20,728.85 |
| CT | 41 | $30,742.54 | $24,462.07 |
| DC | 91 | $37,834.50 | $26,357.50 |
| DE | 67 | $27,247.48 | $22,187.03 |
| FL | 1,001 | $24,849.60 | $20,224.50 |
| GA | 300 | $25,489.07 | $19,938.81 |
| HI | 27 | $41,878.26 | $20,444.26 |
| IA | 96 | $23,774.43 | $18,976.01 |
| ID | 65 | $22,036.57 | $19,561.47 |
| IL | 363 | $30,000.57 | $21,276.09 |
| IN | 156 | $25,244.59 | $20,651.27 |
| KS | 159 | $22,196.93 | $18,418.09 |
| KY | 105 | $24,246.20 | $18,596.43 |
| LA | 145 | $22,284.73 | $18,142.10 |
| MA | 374 | $32,125.81 | $27,262.98 |
| MD | 270 | $45,650.55 | $42,218.65 |
| ME | 41 | $27,746.03 | $20,180.04 |
| MI | 327 | $26,945.66 | $21,504.50 |
| MN | 224 | $27,767.85 | $21,277.97 |
| MO | 239 | $23,838.86 | $19,530.23 |
| MS | 65 | $22,448.22 | $20,107.87 |
| MT | 33 | $23,109.99 | $21,359.85 |
| NC | 359 | $25,757.93 | $20,366.79 |
| NE | 48 | $24,709.69 | $21,818.72 |
| NH | 33 | $28,831.15 | $22,634.73 |
| NJ | 199 | $28,582.89 | $23,978.67 |
| NM | 13 | $32,211.23 | $29,654.31 |
| NV | 58 | $28,166.30 | $26,579.64 |
| NY | 609 | $33,536.79 | $26,812.26 |
| OH | 487 | $25,003.74 | $19,143.01 |
| OK | 157 | $22,196.07 | $19,709.98 |
| OR | 108 | $30,818.37 | $24,606.69 |
| PA | 468 | $27,362.47 | $22,384.54 |
| RI | 11 | $29,616.45 | $26,093.91 |
| SC | 352 | $24,058.63 | $19,055.17 |
| SD | 42 | $20,881.39 | $19,137.45 |
| TN | 303 | $23,068.30 | $18,298.36 |
| TX | 1,012 | $24,427.18 | $18,707.81 |
| UT | 78 | $25,749.76 | $19,989.59 |
| VA | 411 | $25,346.35 | $20,191.64 |
| VT | 14 | $15,522.50 | $13,032.50 |
| WA | 163 | $29,458.03 | $22,787.30 |
| WI | 45 | $25,169.01 | $18,564.66 |
| WV | 65 | $28,089.69 | $18,963.60 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.9461 | 2.5 | No |
| 2024-10-01 | 2.8972 | 2.5 | No |
| 2023-10-01 | 2.9554 | 2.6 | No |
| 2022-10-01 | 3.0710 | 2.6 | No |
| 2021-10-01 | 3.0537 | 2.5 | No |
| 2020-10-01 | 3.0532 | 2.5 | No |
| 2019-10-01 | 3.0415 | 2.5 | No |
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