MS-DRG 518
BACK AND NECK PROCEDURES E
Relative Weight
3.7373
Geometric Mean LOS
5.3 Days
Arithmetic Mean LOS
7.6 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 181 | $204,962.21 | $39,256.51 | $33,130.34 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| CA | 88 | $39,364.26 | $35,111.78 |
| CO | 12 | $35,650.50 | $32,428.25 |
| FL | 23 | $41,390.38 | $24,312.41 |
| MA | 11 | $49,399.55 | $44,768.64 |
| NY | 16 | $50,251.56 | $44,949.88 |
| OH | 11 | $33,264.91 | $29,711.27 |
| TX | 20 | $22,909.55 | $21,522.35 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 3.7373 | 5.3 | Yes |
| 2024-10-01 | 3.5840 | 5.4 | Yes |
| 2023-10-01 | 3.6518 | 5.5 | Yes |
| 2022-10-01 | 3.7277 | 5.2 | Yes |
| 2021-10-01 | 3.5869 | 4.2 | Yes |
| 2020-10-01 | 3.5843 | 4.2 | Yes |
| 2019-10-01 | 3.4086 | 4.0 | Yes |
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