Medicare payment by MS‑DRG, 2024

What Medicare paid hospitals per discharge in 2024 for every MS‑DRG with at least 1,000 discharges at 30 or more hospitals (260 MS‑DRGs, 98.6% of all discharges). Each links to its state-by-state page.

The interactive dashboard

Most-priced MS‑DRGs

The 12 MS‑DRGs with the most Medicare discharges in 2024, the most common inpatient claims.

Pre-MDC: transplants, ECMO and tracheostomy

Nervous system

MS‑DRGDischargesPaid per case
023Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator11,805$47,978
024Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC2,804$30,973
025Craniotomy and Endovascular Intracranial Procedures with MCC20,790$37,824
026Craniotomy and Endovascular Intracranial Procedures with CC3,933$26,217
027Craniotomy and Endovascular Intracranial Procedures without CC/MCC5,562$21,243
035Carotid Artery Stent Procedures with CC2,811$17,302
036Carotid Artery Stent Procedures without CC/MCC4,852$13,372
038Extracranial Procedures with CC3,458$12,004
039Extracranial Procedures without CC/MCC7,739$7,856
041Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator1,631$18,208
054Nervous System Neoplasms with MCC5,366$12,396
056Degenerative Nervous System Disorders with MCC8,619$20,347
057Degenerative Nervous System Disorders without MCC21,094$11,625
062Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with CC1,826$14,271
064Intracranial Hemorrhage or Cerebral Infarction with MCC62,599$15,695
065Intracranial Hemorrhage or Cerebral Infarction with CC or tPA in 24 Hours68,157$7,474
066Intracranial Hemorrhage or Cerebral Infarction without CC/MCC9,902$4,699
069Transient Ischemia without Thrombolytic20,244$5,662
070Other Cerebrovascular Disorders with MCC10,982$14,149
071Other Cerebrovascular Disorders with CC10,522$8,149
074Cranial and Peripheral Nerve Disorders without MCC5,579$8,244
082Traumatic Stupor and Coma >1 Hour with MCC7,321$20,258
083Traumatic Stupor and Coma >1 Hour with CC7,533$11,370
085Traumatic Stupor and Coma <1 Hour with MCC4,544$18,599
086Traumatic Stupor and Coma <1 Hour with CC8,306$10,198
087Traumatic Stupor and Coma <1 Hour without CC/MCC1,091$6,485
091Other Disorders of Nervous System with MCC9,790$15,161
092Other Disorders of Nervous System with CC14,722$8,252
100Seizures with MCC17,500$16,544
101Seizures without MCC21,467$7,313
103Headaches without MCC2,179$5,895

Ear, nose, mouth and throat

MS‑DRGDischargesPaid per case
141Major Head and Neck Procedures with CC1,174$19,833
149Dysequilibrium7,721$5,179

Respiratory system

Circulatory system

MS‑DRGDischargesPaid per case
216Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC2,577$90,313
219Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC12,333$69,387
220Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC8,116$43,816
228Other Cardiothoracic Procedures with MCC2,279$47,422
229Other Cardiothoracic Procedures without MCC3,889$26,681
233Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC6,594$57,506
234Coronary Bypass with Cardiac Catheterization or Open Ablation without MCC5,526$36,475
235Coronary Bypass without Cardiac Catheterization with MCC8,759$45,290
236Coronary Bypass without Cardiac Catheterization without MCC12,346$29,654
239Amputation for Circulatory System Disorders except Upper Limb and Toe with MCC1,489$40,809
242Permanent Cardiac Pacemaker Implant with MCC9,743$26,961
243Permanent Cardiac Pacemaker Implant with CC14,876$17,315
244Permanent Cardiac Pacemaker Implant without CC/MCC4,007$13,216
252Other Vascular Procedures with MCC14,681$29,697
253Other Vascular Procedures with CC10,909$20,751
254Other Vascular Procedures without CC/MCC1,543$12,752
264Other Circulatory System O.R. Procedures2,915$29,169
266Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC23,630$52,995
267Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC39,606$40,567
269Aortic and Heart Assist Procedures except Pulsation Balloon without MCC6,645$34,070
270Other Major Cardiovascular Procedures with MCC11,400$45,147
271Other Major Cardiovascular Procedures with CC7,339$28,049
273Percutaneous and Other Intracardiac Procedures with MCC5,244$33,483
274Percutaneous and Other Intracardiac Procedures without MCC58,174$24,749
280Acute Myocardial Infarction, Discharged Alive with MCC83,841$12,400
281Acute Myocardial Infarction, Discharged Alive with CC30,631$6,649
282Acute Myocardial Infarction, Discharged Alive without CC/MCC5,809$4,781
283Acute Myocardial Infarction, Expired with MCC2,154$17,723
286Circulatory Disorders except AMI, with Cardiac Catheterization with MCC34,223$17,633
287Circulatory Disorders except AMI, with Cardiac Catheterization without MCC28,522$7,566
291Heart Failure and Shock with MCC304,694$10,022
292Heart Failure and Shock with CC5,135$7,089
299Peripheral Vascular Disorders with MCC8,550$13,233
300Peripheral Vascular Disorders with CC12,552$8,374
303Atherosclerosis without MCC1,860$4,771
304Hypertension with MCC4,774$9,267
305Hypertension without MCC17,181$5,196
308Cardiac Arrhythmia and Conduction Disorders with MCC42,862$9,139
309Cardiac Arrhythmia and Conduction Disorders with CC60,439$5,247
310Cardiac Arrhythmia and Conduction Disorders without CC/MCC24,508$3,433
312Syncope and Collapse51,859$6,636
313Chest Pain13,606$5,141
314Other Circulatory System Diagnoses with MCC25,543$17,602
315Other Circulatory System Diagnoses with CC8,781$7,710
321Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/Intraluminal Devices30,999$22,191
322Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC46,534$12,905
323Coronary Intravascular Lithotripsy with Intraluminal Device with MCC1,218$34,827
324Coronary Intravascular Lithotripsy with Intraluminal Device without MCC1,821$23,455

Digestive system

MS‑DRGDischargesPaid per case
326Stomach, Esophageal and Duodenal Procedures with MCC3,853$46,606
327Stomach, Esophageal and Duodenal Procedures with CC4,003$21,055
328Stomach, Esophageal and Duodenal Procedures without CC/MCC2,141$12,768
329Major Small and Large Bowel Procedures with MCC24,579$36,644
330Major Small and Large Bowel Procedures with CC33,073$18,026
331Major Small and Large Bowel Procedures without CC/MCC11,649$12,053
336Peritoneal Adhesiolysis with CC1,716$16,752
354Hernia Procedures except Inguinal and Femoral with CC1,272$13,970
356Other Digestive System O.R. Procedures with MCC2,095$37,267
371Major Gastrointestinal Disorders and Peritoneal Infections with MCC5,401$13,887
372Major Gastrointestinal Disorders and Peritoneal Infections with CC9,250$7,767
374Digestive Malignancy with MCC5,486$18,359
375Digestive Malignancy with CC3,494$9,846
377Gastrointestinal Hemorrhage with MCC51,100$14,302
378Gastrointestinal Hemorrhage with CC75,613$7,295
379Gastrointestinal Hemorrhage without CC/MCC1,039$4,436
386Inflammatory Bowel Disease with CC1,018$7,088
388Gastrointestinal Obstruction with MCC8,832$11,514
389Gastrointestinal Obstruction with CC32,114$5,697
390Gastrointestinal Obstruction without CC/MCC8,779$3,505
391Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC30,034$10,203
392Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC85,970$5,662
393Other Digestive System Diagnoses with MCC17,381$13,887
394Other Digestive System Diagnoses with CC23,654$7,241

Hepatobiliary system and pancreas

Musculoskeletal system and connective tissue

MS‑DRGDischargesPaid per case
402Single Level Combined Anterior and Posterior Spinal Fusion except Cervical1,378$29,378
427Multiple Level Combined Anterior and Posterior Spinal Fusion except Cervical with CC1,170$62,569
453Combined Anterior and Posterior Spinal Fusion with MCC1,012$91,243
454Combined Anterior and Posterior Spinal Fusion with CC13,779$49,529
455Combined Anterior and Posterior Spinal Fusion without CC/MCC10,551$33,847
457Spinal Fusion except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with CC1,710$55,967
460Spinal Fusion except Cervical without MCC18,008$27,892
464Wound Debridement and Skin Graft except Hand for Musculoskeletal and Connective Tissue Disorders with CC2,034$27,235
467Revision of Hip or Knee Replacement with CC14,134$26,100
468Revision of Hip or Knee Replacement without CC/MCC9,115$19,722
469Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with MCC or Total Ankle Replacement1,160$28,095
470Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC59,121$14,289
472Cervical Spinal Fusion with CC11,118$22,617
473Cervical Spinal Fusion without CC/MCC2,401$16,670
478Biopsies of Musculoskeletal System and Connective Tissue with CC1,480$18,928
480Hip and Femur Procedures except Major Joint with MCC21,607$23,191
481Hip and Femur Procedures except Major Joint with CC62,753$15,801
482Hip and Femur Procedures except Major Joint without CC/MCC6,826$11,718
483Major Joint or Limb Reattachment Procedures of Upper Extremities8,966$19,439
492Lower Extremity and Humerus Procedures except Hip, Foot and Femur with MCC1,225$28,955
493Lower Extremity and Humerus Procedures except Hip, Foot and Femur with CC10,223$18,731
494Lower Extremity and Humerus Procedures except Hip, Foot and Femur without CC/MCC1,650$14,303
515Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC1,005$25,138
516Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC6,436$15,648
517Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC2,059$11,134
519Back and Neck Procedures except Spinal Fusion with CC3,713$16,124
521Hip Replacement with Principal Diagnosis of Hip Fracture with MCC7,531$22,764
522Hip Replacement with Principal Diagnosis of Hip Fracture without MCC37,275$15,768
535Fractures of Hip and Pelvis with MCC1,062$9,989
536Fractures of Hip and Pelvis without MCC10,120$5,686
542Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC3,536$15,129
543Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC8,898$8,054
551Medical Back Problems with MCC8,932$13,310
552Medical Back Problems without MCC43,981$7,114
554Bone Diseases and Arthropathies without MCC3,500$6,632
556Signs and Symptoms of Musculoskeletal System and Connective Tissue without MCC2,688$6,544
558Tendonitis, Myositis and Bursitis without MCC1,087$6,982
560Aftercare, Musculoskeletal System and Connective Tissue with CC1,076$21,554
562Fracture, Sprain, Strain and Dislocation except Femur, Hip, Pelvis and Thigh with MCC1,309$12,148
563Fracture, Sprain, Strain and Dislocation except Femur, Hip, Pelvis and Thigh without MCC15,402$6,629
565Other Musculoskeletal System and Connective Tissue Diagnoses with CC1,701$7,400

Skin, subcutaneous tissue and breast

Endocrine, nutritional and metabolic

Kidney and urinary tract

Blood and immunological disorders

Myeloproliferative disorders and neoplasms

Infectious and parasitic diseases

Mental diseases and disorders

Alcohol and drug use

Injuries, poisonings and toxic effects

Factors influencing health status

Multiple significant trauma

Operating room procedures unrelated to the principal diagnosis