MS‑DRG 039: Extracranial Procedures without CC/MCC

What Medicare paid hospitals for MS‑DRG 039 in 2024: nationally, state by state and across hospitals.

Paid per case$7,8560.5× the all-DRG average

Discharges7,7390.16% of all Medicare discharges

Total paid$60.8M179th largest MS‑DRG by spending

Hospitals378in 48 states and DC

Charges ÷ paid7.5×$59,351 average charge

Relative weight1.1850FY2027, 1.2-day geometric mean stay; FY2026 1.1755 (+0.8%)

In 2024 Medicare paid hospitals an average of $7,856 per discharge for MS‑DRG 039, across 7,739 fee-for-service discharges at 378 hospitals: 0.16% of all Medicare inpatient discharges and $60.8M in total, the 179th largest MS‑DRG by Medicare spending.

By state, the average ran from $4,556 in Vermont to $13,125 in Alaska. Across hospitals, half were paid between $6,770 and $8,544 per case, and the median hospital $7,447; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $59,351 on average for these stays, 7.5 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 039 on the interactive map Price an MS‑DRG 039 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 039, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.1755	1.1850	+0.8%
Geometric mean stay (days)	1.2	1.2	0.0
Average stay (days)	1.4	1.4	0.0

Not capped: the +0.8% 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)

$8,754.72

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 039
MS‑DRG	Severity	Payment ($)	Step ($)
037	with MCC	25,292.65	+16,537.93
038	with CC	12,039.40	+3,284.68
039	without CC/MCC	8,754.72	—

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 039 at a hospital

Paid per case, by state

MS‑DRG 039 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$14,694	172	8	1.2×
Alaska	$13,125	39	2	4.2×
District of Columbia	$10,663	11	1	5.0×
California	$10,635	335	16	8.3×
Massachusetts	$10,378	218	11	4.4×
Rhode Island	$10,358	13	1	2.9×
New York	$9,860	344	15	6.5×
Oregon	$9,409	75	4	5.3×
Connecticut	$9,342	22	1	4.4×
Wyoming	$9,076	12	1	7.4×
New Jersey	$8,878	282	14	7.0×
New Hampshire	$8,772	66	3	8.6×
Delaware	$8,591	38	1	4.0×
Nevada	$8,477	74	4	7.8×
Pennsylvania	$8,129	193	14	10.9×
Washington	$7,980	138	7	9.0×
Maine	$7,807	42	2	5.8×
Virginia	$7,805	210	9	6.0×
Minnesota	$7,751	137	7	5.5×
North Carolina	$7,727	337	18	6.0×
South Carolina	$7,712	161	8	9.8×
Idaho	$7,649	39	2	6.1×
Arizona	$7,600	188	10	10.5×
Missouri	$7,510	197	12	7.4×
Michigan	$7,496	151	11	6.3×
Colorado	$7,488	42	3	9.8×
Georgia	$7,369	260	12	8.7×
Texas	$7,369	552	27	10.8×
South Dakota	$7,348	103	4	6.7×
Florida	$7,281	545	27	11.7×
Montana	$7,277	51	3	5.8×
Illinois	$7,196	218	12	7.9×
Indiana	$7,136	205	10	7.3×
North Dakota	$7,080	53	3	4.5×
Utah	$7,042	12	1	4.4×
Ohio	$7,022	263	13	9.2×
Iowa	$6,976	115	6	6.3×
Wisconsin	$6,948	111	7	6.0×
Nebraska	$6,845	84	2	5.3×
Tennessee	$6,638	195	9	7.8×
Alabama	$6,612	239	11	8.6×
Louisiana	$6,554	258	8	9.0×
Kansas	$6,502	222	7	5.0×
West Virginia	$6,486	75	4	9.6×
Oklahoma	$6,417	174	6	7.0×
Mississippi	$6,321	184	6	5.8×
Arkansas	$6,130	133	8	7.0×
Kentucky	$6,109	123	6	7.8×
Vermont	$4,556	28	1	9.3×
United States	$7,856	7,739	378	7.5×

* 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 039.

10th percentile	$6,114
25th percentile	$6,770
Median hospital	$7,447
75th percentile	$8,544
90th percentile	$10,115

The same condition at other severities

038Extracranial Procedures with CC · $12,004

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 039 in 2024?

An average of $7,856 per discharge across 7,739 fee-for-service discharges at 378 hospitals, $60.8M in total.

Which state paid the most for MS‑DRG 039?

Alaska, at $13,125 per case; Vermont paid the least, $4,556.

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.