MS‑DRG 056: Degenerative Nervous System Disorders with MCC

What Medicare paid hospitals for MS‑DRG 056 in 2024: nationally, state by state and across hospitals.

Paid per case$20,3471.3× the all-DRG average

Discharges8,6190.17% of all Medicare discharges

Total paid$175.4M94th largest MS‑DRG by spending

Hospitals408in 46 states and DC

Charges ÷ paid5.2×$105,221 average charge

Relative weight2.2655FY2027, 5.4-day geometric mean stay; FY2026 2.3231 (−2.5%)

In 2024 Medicare paid hospitals an average of $20,347 per discharge for MS‑DRG 056, across 8,619 fee-for-service discharges at 408 hospitals: 0.17% of all Medicare inpatient discharges and $175.4M in total, the 94th largest MS‑DRG by Medicare spending.

By state, the average ran from $9,613 in Vermont to $25,799 in New York. Across hospitals, half were paid between $15,087 and $21,316 per case, and the median hospital $17,546; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $105,221 on average for these stays, 5.2 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 056 on the interactive map Price an MS‑DRG 056 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 056, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	2.3231	2.2655	−2.5%
Geometric mean stay (days)	5.7	5.4	−0.3
Average stay (days)	9.1	8.5	−0.6

Not capped: the −2.5% 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)

$16,737.40

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 056
MS‑DRG	Severity	Payment ($)	Step ($)
056	with MCC	16,737.40	—
057	without MCC	9,484.65	−7,252.75

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 056 at a hospital

Paid per case, by state

MS‑DRG 056 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$38,578	433	19	1.2×
New York	$25,799	1,031	33	6.4×
California	$25,636	659	33	7.0×
Hawaii	$24,847	17	1	6.2×
District of Columbia	$24,281	30	2	3.9×
Connecticut	$23,865	107	5	4.2×
Minnesota	$22,420	134	8	4.5×
Oregon	$21,893	72	4	3.3×
Wisconsin	$21,824	57	3	5.3×
Utah	$21,302	18	1	2.7×
Massachusetts	$20,874	509	19	2.7×
New Hampshire	$20,416	36	2	4.2×
Georgia	$20,346	151	8	5.0×
Maine	$20,226	24	1	4.5×
Delaware	$20,012	42	1	3.2×
Nevada	$20,007	26	2	6.4×
South Dakota	$19,845	41	2	4.5×
Rhode Island	$19,426	36	2	3.1×
New Jersey	$19,038	469	20	7.0×
Pennsylvania	$18,344	404	21	6.6×
Washington	$18,262	124	9	5.5×
Arizona	$18,248	60	3	5.6×
Texas	$18,014	415	23	7.4×
Illinois	$17,863	499	18	4.1×
Idaho	$17,681	12	1	4.6×
Virginia	$17,574	278	15	4.9×
Iowa	$17,308	42	3	4.6×
North Carolina	$17,193	232	13	4.5×
Missouri	$17,148	157	8	3.9×
Michigan	$16,361	186	11	3.3×
Colorado	$16,239	52	3	6.4×
Indiana	$16,229	122	6	4.0×
Kansas	$16,200	88	4	8.3×
Louisiana	$15,995	41	3	5.9×
Ohio	$15,915	258	13	4.9×
Nebraska	$15,859	54	3	4.0×
South Carolina	$15,662	161	8	6.3×
Florida	$15,468	984	46	6.5×
Kentucky	$15,436	64	3	5.0×
New Mexico	$15,391	18	1	2.7×
Tennessee	$15,100	182	9	5.0×
Mississippi	$15,024	91	6	4.3×
Oklahoma	$14,951	79	3	3.5×
Alabama	$14,944	42	3	5.1×
West Virginia	$13,378	27	2	5.9×
Arkansas	$13,341	38	3	3.3×
Vermont	$9,613	17	1	10.3×
United States	$20,347	8,619	408	5.2×

* 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 056.

10th percentile	$13,397
25th percentile	$15,087
Median hospital	$17,546
75th percentile	$21,316
90th percentile	$26,311

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

The same condition at other severities

057Degenerative Nervous System Disorders without MCC · $11,625

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 056 in 2024?

An average of $20,347 per discharge across 8,619 fee-for-service discharges at 408 hospitals, $175.4M in total.

Which state paid the most for MS‑DRG 056?

New York, at $25,799 per case; Vermont paid the least, $9,613.

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.