MS-DRG 519
BACK AND NECK PROCEDURES E
Relative Weight
2.0002
Geometric Mean LOS
3.2 Days
Arithmetic Mean LOS
4.2 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 3,713 | $99,461.30 | $19,666.06 | $15,492.80 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 12 | $23,212.25 | $15,331.75 |
| AL | 40 | $18,158.36 | $11,743.73 |
| AR | 30 | $13,414.20 | $10,099.63 |
| AZ | 59 | $19,886.09 | $14,095.37 |
| CA | 405 | $24,202.42 | $20,513.11 |
| CO | 53 | $18,278.13 | $14,792.20 |
| DC | 50 | $24,262.37 | $17,554.71 |
| DE | 22 | $19,409.91 | $14,873.95 |
| FL | 271 | $16,505.83 | $12,992.65 |
| GA | 85 | $25,470.98 | $16,731.29 |
| IA | 17 | $20,261.00 | $16,956.82 |
| ID | 24 | $15,174.33 | $13,606.75 |
| IL | 170 | $20,982.14 | $14,434.79 |
| IN | 47 | $13,666.99 | $11,778.01 |
| KS | 47 | $14,635.54 | $11,667.67 |
| KY | 46 | $16,324.53 | $12,184.43 |
| MA | 235 | $20,314.39 | $17,535.90 |
| MD | 101 | $28,498.31 | $26,264.56 |
| ME | 14 | $17,480.14 | $15,177.64 |
| MI | 80 | $17,683.97 | $14,649.76 |
| MN | 152 | $17,131.95 | $14,214.94 |
| MO | 74 | $17,403.62 | $14,744.51 |
| MS | 40 | $16,423.15 | $12,946.01 |
| MT | 26 | $17,270.46 | $14,057.96 |
| NC | 78 | $19,980.73 | $15,511.50 |
| ND | 29 | $16,578.97 | $13,097.79 |
| NE | 40 | $16,280.79 | $13,892.01 |
| NJ | 42 | $18,482.07 | $16,337.43 |
| NV | 37 | $19,459.15 | $16,607.27 |
| NY | 321 | $24,313.05 | $19,364.56 |
| OH | 165 | $17,551.03 | $13,888.30 |
| OK | 20 | $15,092.40 | $12,532.10 |
| OR | 31 | $21,378.71 | $16,088.23 |
| PA | 172 | $19,023.12 | $15,489.63 |
| RI | 13 | $22,561.62 | $17,107.15 |
| SC | 67 | $20,268.76 | $14,726.07 |
| TN | 99 | $18,442.28 | $12,771.01 |
| TX | 263 | $16,522.93 | $13,041.53 |
| UT | 24 | $17,959.19 | $15,806.73 |
| VA | 67 | $20,285.65 | $15,449.90 |
| VT | 11 | $11,203.27 | $8,506.55 |
| WA | 77 | $21,892.97 | $14,775.66 |
| WI | 40 | $19,250.04 | $13,937.42 |
| WV | 17 | $25,920.59 | $12,132.24 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 2.0002 | 3.2 | Yes |
| 2024-10-01 | 1.9719 | 3.2 | Yes |
| 2023-10-01 | 1.9686 | 3.2 | Yes |
| 2022-10-01 | 1.9993 | 3.2 | Yes |
| 2021-10-01 | 1.9600 | 3.2 | Yes |
| 2020-10-01 | 1.9577 | 3.2 | Yes |
| 2019-10-01 | 1.9087 | 3.1 | Yes |
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