MS‑DRG 064: Intracranial Hemorrhage or Cerebral Infarction with MCC

What Medicare paid hospitals for MS‑DRG 064 in 2024: nationally, state by state and across hospitals.

Paid per case$15,6951.0× the all-DRG average

Discharges62,5991.26% of all Medicare discharges

Total paid$982.5M13th largest MS‑DRG by spending

Hospitals1,480in 50 states and DC

Charges ÷ paid6.5×$102,229 average charge

Relative weight1.9712FY2027, 4.4-day geometric mean stay; FY2026 2.0110 (−2.0%)

In 2024 Medicare paid hospitals an average of $15,695 per discharge for MS‑DRG 064, across 62,599 fee-for-service discharges at 1,480 hospitals: 1.26% of all Medicare inpatient discharges and $982.5M in total, the 13th largest MS‑DRG by Medicare spending.

By state, the average ran from $10,807 in Vermont to $20,733 in California. Across hospitals, half were paid between $12,398 and $17,025 per case, and the median hospital $14,045; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $102,229 on average for these stays, 6.5 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 064 on the interactive map Price an MS‑DRG 064 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 064, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	2.0110	1.9712	−2.0%
Geometric mean stay (days)	4.4	4.4	0.0
Average stay (days)	6.3	6.2	−0.1

Not capped: the −2.0% 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)

$14,563.13

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 064
MS‑DRG	Severity	Payment ($)	Step ($)
064	with MCC	14,563.13	—
065	with CC	7,319.98	−7,243.15
066	without CC/MCC	5,001.64	−9,561.49

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 064 at a hospital

Paid per case, by state

MS‑DRG 064 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$25,430	1,536	35	1.2×
California	$20,733	6,381	157	8.6×
New York	$20,529	3,600	74	6.8×
District of Columbia	$20,431	274	5	7.0×
Hawaii	$20,148	289	8	4.8×
Alaska	$19,845	169	5	7.1×
Wyoming	$18,551	45	2	3.8×
Connecticut	$18,259	677	17	4.7×
Massachusetts	$17,913	1,917	37	3.1×
Oregon	$17,272	594	16	3.7×
New Jersey	$16,758	2,084	48	8.7×
Nevada	$16,275	587	13	12.8×
New Hampshire	$16,119	384	12	4.8×
Rhode Island	$16,001	182	5	3.2×
Washington	$15,550	1,403	35	5.2×
Minnesota	$15,546	849	18	4.1×
New Mexico	$15,326	242	6	3.9×
Georgia	$15,077	1,922	49	6.3×
Delaware	$14,979	285	4	4.5×
Pennsylvania	$14,978	2,378	62	7.4×
Arizona	$14,961	1,243	31	6.2×
Illinois	$14,826	2,592	61	5.5×
Maine	$14,733	184	4	4.3×
South Dakota	$14,523	264	5	5.9×
Wisconsin	$14,415	805	23	5.0×
Michigan	$14,288	1,522	47	4.5×
Texas	$14,284	4,858	113	8.6×
Colorado	$14,255	629	17	9.5×
Utah	$14,152	279	8	4.9×
North Carolina	$14,141	1,775	44	4.6×
Idaho	$14,098	282	8	5.3×
Nebraska	$14,008	404	12	4.0×
Missouri	$13,670	1,244	32	5.9×
North Dakota	$13,633	251	6	3.8×
South Carolina	$13,630	1,242	27	6.4×
Ohio	$13,540	1,980	57	5.2×
Oklahoma	$13,511	901	18	6.7×
Virginia	$13,393	2,108	39	5.3×
Louisiana	$13,376	772	20	6.4×
Florida	$13,351	5,164	109	9.3×
Montana	$13,333	221	7	3.0×
Indiana	$13,201	1,340	34	4.9×
Kentucky	$12,996	735	19	5.8×
Iowa	$12,975	603	15	4.9×
West Virginia	$12,940	420	12	5.0×
Kansas	$12,860	647	14	8.9×
Alabama	$12,757	941	23	7.6×
Mississippi	$12,519	826	15	5.5×
Tennessee	$12,489	1,708	32	6.5×
Arkansas	$12,065	758	17	4.6×
Vermont	$10,807	103	3	5.8×
United States	$15,695	62,599	1,480	6.5×

* 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 064.

10th percentile	$11,388
25th percentile	$12,398
Median hospital	$14,045
75th percentile	$17,025
90th percentile	$20,255

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

Nearby MS‑DRG numbers

062Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with CC

Questions

What did Medicare pay for MS‑DRG 064 in 2024?

An average of $15,695 per discharge across 62,599 fee-for-service discharges at 1,480 hospitals, $982.5M in total.

Which state paid the most for MS‑DRG 064?

California, at $20,733 per case; Vermont paid the least, $10,807.

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.