MS‑DRG 024: Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC

What Medicare paid hospitals for MS‑DRG 024 in 2024: nationally, state by state and across hospitals.

Paid per case$30,9732.0× the all-DRG average

Discharges2,8040.06% of all Medicare discharges

Total paid$86.8M141st largest MS‑DRG by spending

Hospitals156in 44 states

Charges ÷ paid6.2×$191,127 average charge

Relative weight3.9708FY2027, 3.6-day geometric mean stay; FY2026 3.9119 (+1.5%)

In 2024 Medicare paid hospitals an average of $30,973 per discharge for MS‑DRG 024, across 2,804 fee-for-service discharges at 156 hospitals: 0.06% of all Medicare inpatient discharges and $86.8M in total, the 141st largest MS‑DRG by Medicare spending.

By state, the average ran from $17,483 in Vermont to $42,693 in California. Across hospitals, half were paid between $25,628 and $33,594 per case, and the median hospital $28,265; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $191,127 on average for these stays, 6.2 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 024 on the interactive map Price an MS‑DRG 024 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 024, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	3.9119	3.9708	+1.5%
Geometric mean stay (days)	3.7	3.6	−0.1
Average stay (days)	4.9	4.7	−0.2

Not capped: the +1.5% 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)

$29,336.07

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 024
MS‑DRG	Severity	Payment ($)	Step ($)
023	with MCC	42,439.34	+13,103.27
024	without MCC	29,336.07	—

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 024 at a hospital

Paid per case, by state

MS‑DRG 024 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$50,435	56	3	1.2×
California	$42,693	231	12	5.9×
Alaska	$42,402	11	1	17.5×
New York	$39,819	89	5	5.8×
Massachusetts	$39,286	87	4	2.2×
Connecticut	$38,955	28	2	2.9×
Oklahoma	$36,292	15	1	13.5×
Rhode Island	$34,440	28	1	2.4×
South Dakota	$34,284	14	1	3.4×
New Jersey	$33,429	88	5	7.3×
Pennsylvania	$32,997	107	5	7.5×
Hawaii	$32,803	27	1	5.0×
Utah	$32,541	22	1	2.9×
Delaware	$32,053	40	1	5.1×
Oregon	$31,988	43	3	3.4×
Minnesota	$31,906	41	2	3.2×
Georgia	$31,475	116	6	6.8×
Arizona	$31,220	44	3	5.9×
Illinois	$30,775	90	6	5.7×
Nevada	$29,974	37	2	8.8×
Washington	$29,324	62	3	4.6×
Indiana	$29,228	41	3	5.2×
Michigan	$29,156	58	4	4.3×
Virginia	$28,083	135	7	7.0×
Colorado	$27,959	26	1	18.2×
North Carolina	$27,800	156	10	5.0×
Louisiana	$27,544	55	4	4.3×
Maine	$27,522	15	1	4.3×
Kansas	$27,349	87	2	7.3×
Wisconsin	$27,215	55	4	5.2×
Iowa	$27,122	33	2	4.7×
South Carolina	$27,021	47	3	9.4×
Ohio	$26,994	94	5	5.2×
Texas	$26,976	180	11	11.4×
Idaho	$26,901	41	2	4.8×
Florida	$26,536	201	11	8.8×
West Virginia	$26,177	12	1	5.3×
Kentucky	$26,041	41	3	7.9×
Missouri	$25,677	59	3	5.3×
Tennessee	$25,341	60	4	4.4×
Alabama	$23,409	69	4	6.0×
Arkansas	$22,129	17	1	6.0×
Mississippi	$21,648	33	1	5.2×
Vermont	$17,483	13	1	5.9×
United States	$30,973	2,804	156	6.2×

* 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 024.

10th percentile	$23,984
25th percentile	$25,628
Median hospital	$28,265
75th percentile	$33,594
90th percentile	$40,532

Related analysis

Transfers and the per-diem rule: when a short stay pays less than the full DRG · Inpatient DRG

The same condition at other severities

023Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator · $47,978

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 024 in 2024?

An average of $30,973 per discharge across 2,804 fee-for-service discharges at 156 hospitals, $86.8M in total.

Which state paid the most for MS‑DRG 024?

California, at $42,693 per case; Vermont paid the least, $17,483.

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.