MS‑DRG 041: Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator

What Medicare paid hospitals for MS‑DRG 041 in 2024: nationally, state by state and across hospitals.

Paid per case$18,2081.2× the all-DRG average

Discharges1,6310.03% of all Medicare discharges

Total paid$29.7M233rd largest MS‑DRG by spending

Hospitals99in 31 states

Charges ÷ paid6.7×$121,865 average charge

Relative weight2.1796FY2027, 3.7-day geometric mean stay; FY2026 2.1987 (−0.9%)

In 2024 Medicare paid hospitals an average of $18,208 per discharge for MS‑DRG 041, across 1,631 fee-for-service discharges at 99 hospitals: 0.03% of all Medicare inpatient discharges and $29.7M in total, the 233rd largest MS‑DRG by Medicare spending.

By state, the average ran from $12,761 in Louisiana to $27,924 in California. Across hospitals, half were paid between $15,297 and $20,825 per case, and the median hospital $16,513; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $121,865 on average for these stays, 6.7 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 041 on the interactive map Price an MS‑DRG 041 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 041, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	2.1987	2.1796	−0.9%
Geometric mean stay (days)	3.8	3.7	−0.1
Average stay (days)	4.8	4.8	0.0

Not capped: the −0.9% 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)

$16,102.78

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 041
MS‑DRG	Severity	Payment ($)	Step ($)
040	with MCC	27,463.97	+11,361.19
041	with CC	16,102.78	—
042	without CC/MCC	12,385.16	−3,717.62

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 041 at a hospital

Paid per case, by state

MS‑DRG 041 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
California	$27,924	76	5	7.9×
Maryland*	$27,147	25	2	1.2×
Connecticut	$24,443	15	1	3.7×
Massachusetts	$23,967	16	1	3.8×
New York	$21,976	328	17	6.6×
Minnesota	$20,387	33	2	3.0×
South Dakota	$20,058	11	1	3.5×
Nevada	$19,656	12	1	16.2×
South Carolina	$18,808	34	2	6.2×
New Jersey	$17,973	83	6	6.8×
Wisconsin	$17,240	11	1	5.9×
Missouri	$17,187	34	2	8.4×
Pennsylvania	$16,681	152	8	7.5×
Georgia	$16,653	54	3	7.7×
Ohio	$16,587	38	3	6.6×
Virginia	$16,192	65	4	5.2×
North Dakota	$16,180	25	1	4.1×
Texas	$16,069	105	7	8.9×
Illinois	$15,801	19	1	7.6×
Colorado	$15,791	13	1	8.2×
Michigan	$15,744	45	3	4.4×
Arizona	$15,684	29	2	8.5×
North Carolina	$15,635	42	2	5.0×
Florida	$15,523	121	7	8.6×
Kansas	$14,728	66	4	6.8×
Tennessee	$14,598	39	3	6.7×
Oklahoma	$14,563	63	4	5.3×
Nebraska	$14,365	14	1	4.8×
Kentucky	$14,012	13	1	8.3×
West Virginia	$13,556	14	1	4.6×
Louisiana	$12,761	36	2	5.8×
United States	$18,208	1,631	99	6.7×

* 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 041.

10th percentile	$13,929
25th percentile	$15,297
Median hospital	$16,513
75th percentile	$20,825
90th percentile	$24,588

Related analysis

Transfers and the per-diem rule: when a short stay pays less than the full DRG · Inpatient DRG
DRG validation and the single-MCC claim: when one code moves the payment · Payment integrity

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 041 in 2024?

An average of $18,208 per discharge across 1,631 fee-for-service discharges at 99 hospitals, $29.7M in total.

Which state paid the most for MS‑DRG 041?

California, at $27,924 per case; Louisiana paid the least, $12,761.

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.