MS‑DRG 005: Liver Transplant with MCC or Intestinal Transplant

What Medicare paid hospitals for MS‑DRG 005 in 2024: nationally, state by state and across hospitals.

Paid per case$116,0017.6× the all-DRG average

Discharges1,0430.02% of all Medicare discharges

Total paid$121.0M115th largest MS‑DRG by spending

Hospitals53in 29 states and DC

Charges ÷ paid7.1×$819,999 average charge

Relative weight10.4787FY2027, 13.1-day geometric mean stay; FY2026 10.3105 (+1.6%)

In 2024 Medicare paid hospitals an average of $116,001 per discharge for MS‑DRG 005, across 1,043 fee-for-service discharges at 53 hospitals: 0.02% of all Medicare inpatient discharges and $121.0M in total, the 115th largest MS‑DRG by Medicare spending.

By state, the average ran from $67,728 in Kansas to $197,727 in California. Across hospitals, half were paid between $87,402 and $133,426 per case, and the median hospital $105,528; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $819,999 on average for these stays, 7.1 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 005 on the interactive map Price an MS‑DRG 005 claim at any hospital Every MS‑DRG

What changed in FY2027

The rates for discharges from October 1, 2026 (MS‑DRG version 44) against FY2026.

MS‑DRG 005, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	10.3105	10.4787	+1.6%
Geometric mean stay (days)	14.0	13.1	−0.9
Average stay (days)	19.1	18.2	−0.9

Not capped: the +1.6% is CMS’s yearly recalibration of every weight from recent claims and cost data.
Name, MDC and transfer status are unchanged.

FY2027 national base payment (illustration)

$77,416.11

The FY2027 weight times the operating standardized amount and the capital rate ($6,848.00 + $539.95) at a wage index of 1.0. No IME, DSH, outlier or other hospital-specific adjustment, so it is not what any hospital is paid; price it at a hospital for that.

FY2027 national base payment across the severity levels of MS‑DRG 005
MS‑DRG	Severity	Payment ($)	Step ($)
005	with MCC	77,416.11	—
006	without MCC	33,817.60	−43,598.51

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 005 at a hospital

Paid per case, by state

MS‑DRG 005 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$301,805	11	1	1.1×
California	$197,727	135	7	7.6×
Virginia	$158,362	14	1	6.7×
New York	$131,013	67	4	8.1×
Michigan	$126,065	13	1	5.2×
Massachusetts	$118,978	74	4	4.1×
Oregon	$114,040	12	1	3.9×
Minnesota	$111,154	39	2	5.7×
South Carolina	$109,376	12	1	5.5×
Indiana	$108,711	25	1	5.7×
Texas	$107,272	72	3	8.5×
Wisconsin	$106,940	12	1	6.6×
Louisiana	$105,528	12	1	5.0×
Florida	$104,772	103	3	7.1×
Pennsylvania	$102,266	39	2	12.0×
Missouri	$102,130	30	1	5.1×
Illinois	$101,791	18	1	8.4×
Washington	$100,962	13	1	7.1×
Ohio	$91,029	95	4	6.3×
Tennessee	$89,444	26	1	9.9×
Nebraska	$87,402	13	1	8.9×
District of Columbia	$86,783	17	1	9.1×
North Carolina	$85,601	36	2	5.7×
Utah	$82,750	22	1	6.7×
Arizona	$79,272	43	1	8.1×
Alabama	$78,908	11	1	9.2×
Georgia	$74,756	38	2	8.4×
Oklahoma	$74,140	13	1	8.6×
Kentucky	$73,267	14	1	11.5×
Kansas	$67,728	14	1	11.0×
United States	$116,001	1,043	53	7.1×

* Maryland hospitals are paid under the state’s all-payer model, not the IPPS, so Maryland is left out of the state range above.

How much hospitals vary

Each hospital’s own average Medicare payment for MS‑DRG 005.

10th percentile	$75,094
25th percentile	$87,402
Median hospital	$105,528
75th percentile	$133,426
90th percentile	$161,947

Related analysis

DRG validation and the single-MCC claim: when one code moves the payment · Payment integrity

Questions

What did Medicare pay for MS‑DRG 005 in 2024?

An average of $116,001 per discharge across 1,043 fee-for-service discharges at 53 hospitals, $121.0M in total.

Which state paid the most for MS‑DRG 005?

California, at $197,727 per case; Kansas paid the least, $67,728.

Where do these figures come from?

From the Medicare Inpatient Hospitals - by Provider and Service (data year 2024): the published hospital-by-DRG averages of Medicare fee-for-service inpatient discharges in 2024. Cells with fewer than 11 discharges are not published, so a hospital with a handful of cases is not counted. Average Medicare payment excludes the patient’s deductible and coinsurance.