MS‑DRG 065: Intracranial Hemorrhage or Cerebral Infarction with CC or tPA in 24 Hours

What Medicare paid hospitals for MS‑DRG 065 in 2024: nationally, state by state and across hospitals.

Paid per case$7,4740.5× the all-DRG average

Discharges68,1571.38% of all Medicare discharges

Total paid$509.4M39th largest MS‑DRG by spending

Hospitals1,727in 50 states and DC

Charges ÷ paid7.5×$56,315 average charge

Relative weight0.9908FY2027, 2.8-day geometric mean stay; FY2026 1.0103 (−1.9%)

In 2024 Medicare paid hospitals an average of $7,474 per discharge for MS‑DRG 065, across 68,157 fee-for-service discharges at 1,727 hospitals: 1.38% of all Medicare inpatient discharges and $509.4M in total, the 39th largest MS‑DRG by Medicare spending.

By state, the average ran from $4,948 in Vermont to $10,480 in Alaska. Across hospitals, half were paid between $6,014 and $8,103 per case, and the median hospital $6,814; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $56,315 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 065 on the interactive map Price an MS‑DRG 065 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 065, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.0103	0.9908	−1.9%
Geometric mean stay (days)	2.8	2.8	0.0
Average stay (days)	3.6	3.5	−0.1

Not capped: the −1.9% 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)

$7,319.98

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 065
MS‑DRG	Severity	Payment ($)	Step ($)
064	with MCC	14,563.13	+7,243.15
065	with CC	7,319.98	—
066	without CC/MCC	5,001.64	−2,318.34

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 065 at a hospital

Paid per case, by state

MS‑DRG 065 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$12,306	2,202	37	1.3×
Alaska	$10,480	209	6	8.0×
California	$9,871	6,128	172	9.9×
New York	$9,622	3,341	84	7.6×
Wyoming	$9,080	91	3	3.5×
Hawaii	$9,028	246	7	5.5×
District of Columbia	$8,736	138	5	7.6×
Connecticut	$8,677	695	18	5.2×
Massachusetts	$8,143	1,875	44	3.6×
Oregon	$8,116	652	19	4.7×
Rhode Island	$7,961	192	5	3.8×
Texas	$7,891	4,457	118	8.7×
New Jersey	$7,884	2,061	49	11.4×
Nevada	$7,660	472	14	12.8×
Georgia	$7,660	2,003	56	7.0×
New Mexico	$7,331	253	9	5.9×
Maine	$7,328	198	6	5.0×
Washington	$7,252	1,578	38	6.8×
Utah	$7,247	461	9	5.3×
Delaware	$7,168	393	6	4.9×
South Dakota	$7,098	320	5	7.2×
New Hampshire	$7,093	423	12	7.1×
Idaho	$6,980	336	10	6.1×
Minnesota	$6,959	1,111	30	4.9×
Arizona	$6,938	1,448	35	8.9×
North Carolina	$6,924	2,361	56	5.7×
Illinois	$6,879	2,897	70	7.2×
Michigan	$6,788	1,783	52	5.4×
Colorado	$6,703	675	23	11.2×
Pennsylvania	$6,700	3,271	87	8.6×
South Carolina	$6,658	1,347	30	7.3×
Florida	$6,636	4,798	113	11.7×
Missouri	$6,593	1,542	39	7.5×
Nebraska	$6,583	469	15	5.8×
Oklahoma	$6,571	912	23	7.2×
Wisconsin	$6,545	1,027	34	6.3×
Indiana	$6,503	1,610	44	6.3×
North Dakota	$6,407	229	6	5.3×
Ohio	$6,358	2,413	71	6.5×
Montana	$6,357	276	8	3.9×
Virginia	$6,341	2,470	52	7.1×
Kansas	$6,226	660	15	10.9×
Tennessee	$6,129	1,644	36	7.7×
Iowa	$6,106	809	19	6.5×
Alabama	$5,914	1,107	31	8.5×
Louisiana	$5,900	1,012	25	7.4×
Kentucky	$5,882	1,141	25	8.0×
Mississippi	$5,828	948	17	7.0×
Arkansas	$5,714	804	19	5.6×
West Virginia	$5,669	495	15	6.3×
Vermont	$4,948	174	5	8.5×
United States	$7,474	68,157	1,727	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 065.

10th percentile	$5,416
25th percentile	$6,014
Median hospital	$6,814
75th percentile	$8,103
90th percentile	$9,896

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 065 in 2024?

An average of $7,474 per discharge across 68,157 fee-for-service discharges at 1,727 hospitals, $509.4M in total.

Which state paid the most for MS‑DRG 065?

Alaska, at $10,480 per case; Vermont paid the least, $4,948.

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.