MS-DRG 552
MEDICAL BACK PROBLEMS WITH
Relative Weight
0.9613
Geometric Mean LOS
2.9 Days
Arithmetic Mean LOS
3.6 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 43,981 | $47,393.59 | $9,347.21 | $7,175.02 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 54 | $9,561.10 | $7,599.78 |
| AL | 509 | $8,275.50 | $5,795.23 |
| AR | 261 | $7,255.87 | $5,531.28 |
| AZ | 739 | $8,826.75 | $6,704.26 |
| CA | 4,008 | $11,467.34 | $9,321.83 |
| CO | 466 | $8,438.31 | $6,286.53 |
| CT | 412 | $10,241.05 | $7,985.58 |
| DC | 106 | $11,156.85 | $8,282.38 |
| DE | 218 | $9,870.15 | $6,121.22 |
| FL | 4,956 | $8,253.50 | $6,450.77 |
| GA | 1,003 | $9,629.86 | $7,234.13 |
| HI | 62 | $13,946.23 | $9,308.30 |
| IA | 446 | $7,312.22 | $5,623.61 |
| ID | 103 | $9,052.40 | $6,766.27 |
| IL | 2,172 | $9,934.08 | $7,409.84 |
| IN | 897 | $8,138.52 | $6,219.75 |
| KS | 567 | $7,580.16 | $5,750.84 |
| KY | 492 | $7,739.88 | $5,659.82 |
| LA | 336 | $7,689.77 | $5,676.15 |
| MA | 1,673 | $9,588.11 | $7,626.66 |
| MD | 1,161 | $13,815.70 | $12,127.74 |
| ME | 77 | $8,474.90 | $6,071.93 |
| MI | 1,528 | $8,735.14 | $6,415.72 |
| MN | 694 | $8,713.90 | $6,350.76 |
| MO | 1,091 | $8,060.47 | $6,074.28 |
| MS | 276 | $7,483.11 | $5,811.21 |
| MT | 116 | $7,778.16 | $6,189.82 |
| NC | 943 | $8,927.77 | $6,591.97 |
| ND | 142 | $8,144.28 | $6,104.48 |
| NE | 322 | $8,413.99 | $6,366.77 |
| NH | 295 | $8,502.61 | $6,552.99 |
| NJ | 1,949 | $9,955.93 | $7,597.50 |
| NM | 81 | $8,896.77 | $6,626.47 |
| NV | 468 | $9,293.09 | $7,383.93 |
| NY | 3,118 | $12,334.72 | $9,465.92 |
| OH | 1,814 | $8,069.67 | $5,917.78 |
| OK | 338 | $8,126.18 | $6,306.19 |
| OR | 243 | $10,423.75 | $7,926.18 |
| PA | 2,748 | $8,372.29 | $6,165.77 |
| RI | 83 | $9,341.28 | $7,223.36 |
| SC | 662 | $8,424.62 | $6,156.30 |
| SD | 139 | $8,891.53 | $6,640.67 |
| TN | 808 | $8,569.04 | $6,291.81 |
| TX | 2,642 | $9,482.77 | $7,615.41 |
| UT | 208 | $8,649.92 | $6,641.57 |
| VA | 1,194 | $8,445.89 | $6,065.62 |
| VT | 31 | $8,706.94 | $4,559.77 |
| WA | 508 | $9,263.59 | $6,968.55 |
| WI | 484 | $8,369.65 | $6,055.13 |
| WV | 300 | $7,903.02 | $5,479.70 |
| WY | 38 | $9,783.33 | $8,224.00 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 0.9613 | 2.9 | Yes |
| 2024-10-01 | 0.9638 | 2.9 | Yes |
| 2023-10-01 | 0.9663 | 2.9 | Yes |
| 2022-10-01 | 0.9605 | 2.8 | Yes |
| 2021-10-01 | 0.9434 | 2.9 | Yes |
| 2020-10-01 | 0.9420 | 2.9 | Yes |
| 2019-10-01 | 0.9119 | 2.9 | Yes |
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