MS-DRG 551
MEDICAL BACK PROBLEMS WITH
Relative Weight
1.6761
Geometric Mean LOS
4.5 Days
Arithmetic Mean LOS
5.9 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 8,932 | $84,860.20 | $15,990.44 | $13,209.19 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AL | 86 | $16,959.18 | $12,157.94 |
| AR | 35 | $11,562.84 | $9,773.37 |
| AZ | 130 | $14,905.67 | $12,653.69 |
| CA | 867 | $20,509.83 | $17,570.40 |
| CO | 58 | $12,372.51 | $10,419.71 |
| CT | 104 | $18,217.12 | $15,058.82 |
| DC | 17 | $19,114.06 | $15,510.41 |
| DE | 47 | $15,914.43 | $12,976.19 |
| FL | 929 | $13,175.92 | $11,309.99 |
| GA | 176 | $17,521.72 | $13,776.69 |
| HI | 26 | $18,920.00 | $13,579.69 |
| IA | 100 | $12,947.76 | $10,480.56 |
| ID | 20 | $14,243.50 | $11,372.45 |
| IL | 408 | $15,157.18 | $11,733.65 |
| IN | 182 | $13,978.76 | $11,545.92 |
| KS | 144 | $13,025.01 | $11,055.13 |
| KY | 84 | $14,322.17 | $10,789.30 |
| LA | 25 | $12,135.78 | $10,924.93 |
| MA | 438 | $17,387.64 | $14,956.33 |
| MD | 150 | $25,298.23 | $23,411.71 |
| ME | 23 | $17,293.65 | $11,207.30 |
| MI | 241 | $14,611.46 | $12,055.68 |
| MN | 210 | $14,707.21 | $12,140.82 |
| MO | 227 | $14,394.57 | $11,411.06 |
| MS | 51 | $11,719.28 | $10,222.06 |
| MT | 13 | $13,490.08 | $12,335.00 |
| NC | 232 | $16,808.74 | $11,925.37 |
| ND | 40 | $14,970.99 | $13,140.79 |
| NE | 65 | $16,559.53 | $11,435.36 |
| NH | 69 | $15,581.54 | $12,805.11 |
| NJ | 313 | $16,589.71 | $14,121.33 |
| NM | 13 | $17,054.38 | $8,319.46 |
| NV | 146 | $15,130.34 | $12,975.90 |
| NY | 776 | $19,848.07 | $15,988.71 |
| OH | 298 | $14,180.46 | $11,694.46 |
| OK | 111 | $13,597.01 | $11,729.79 |
| OR | 24 | $20,780.25 | $18,080.46 |
| PA | 454 | $14,802.10 | $12,128.65 |
| RI | 14 | $17,893.57 | $15,341.71 |
| SC | 124 | $14,769.53 | $11,414.66 |
| SD | 12 | $13,041.00 | $11,607.42 |
| TN | 272 | $14,979.90 | $11,210.33 |
| TX | 615 | $13,474.05 | $11,669.22 |
| UT | 35 | $13,612.12 | $11,458.05 |
| VA | 260 | $14,801.25 | $11,926.53 |
| VT | 12 | $6,304.25 | $4,808.25 |
| WA | 139 | $17,006.72 | $14,444.56 |
| WI | 93 | $15,503.74 | $11,687.01 |
| WV | 24 | $15,415.13 | $11,961.33 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 1.6761 | 4.5 | Yes |
| 2024-10-01 | 1.7064 | 4.6 | Yes |
| 2023-10-01 | 1.7019 | 4.6 | Yes |
| 2022-10-01 | 1.6734 | 4.4 | Yes |
| 2021-10-01 | 1.6274 | 4.3 | Yes |
| 2020-10-01 | 1.6231 | 4.3 | Yes |
| 2019-10-01 | 1.5894 | 4.4 | Yes |
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