MS-DRG 520
BACK AND NECK PROCEDURES E
Relative Weight
1.4939
Geometric Mean LOS
2.1 Days
Arithmetic Mean LOS
2.6 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 938 | $76,321.33 | $14,475.17 | $11,100.84 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AR | 14 | $9,020.29 | $7,504.86 |
| AZ | 29 | $11,646.63 | $9,935.68 |
| CA | 167 | $16,183.12 | $13,480.11 |
| DC | 19 | $18,297.68 | $12,886.32 |
| DE | 18 | $13,459.22 | $10,341.56 |
| FL | 96 | $11,370.67 | $8,913.17 |
| IL | 26 | $14,511.99 | $9,142.06 |
| IN | 16 | $11,301.44 | $8,341.06 |
| KS | 25 | $8,952.28 | $7,320.28 |
| MA | 43 | $18,673.51 | $12,691.65 |
| MD | 23 | $22,154.87 | $20,522.87 |
| MI | 12 | $12,172.42 | $10,444.08 |
| MN | 34 | $13,909.74 | $11,649.20 |
| MO | 28 | $12,891.47 | $10,148.04 |
| MT | 13 | $11,551.92 | $9,858.38 |
| NC | 35 | $14,277.70 | $10,084.79 |
| NY | 119 | $20,859.57 | $14,616.29 |
| OH | 30 | $15,082.07 | $9,210.41 |
| PA | 64 | $13,851.21 | $11,619.50 |
| RI | 11 | $14,931.09 | $12,261.00 |
| SC | 26 | $14,738.20 | $10,817.15 |
| TX | 44 | $11,816.67 | $7,983.80 |
| VA | 35 | $11,168.16 | $9,467.33 |
| VT | 11 | $11,372.36 | $6,696.55 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.4939 | 2.1 | Yes |
| 2024-10-01 | 1.4332 | 2.0 | Yes |
| 2023-10-01 | 1.4315 | 2.0 | Yes |
| 2022-10-01 | 1.4798 | 2.0 | Yes |
| 2021-10-01 | 1.4183 | 2.0 | Yes |
| 2020-10-01 | 1.4174 | 2.0 | Yes |
| 2019-10-01 | 1.3380 | 1.9 | Yes |
Automate Your DRG Pricing
Bedrock Billing offers the industry's fastest enterprise API for MS-DRG grouping, pricing, and claims analysis.
Try Bedrock Billing for Free