MS‑DRG 066: Intracranial Hemorrhage or Cerebral Infarction without CC/MCC

What Medicare paid hospitals for MS‑DRG 066 in 2024: nationally, state by state and across hospitals.

Paid per case$4,6990.3× the all-DRG average

Discharges9,9020.20% of all Medicare discharges

Total paid$46.5M196th largest MS‑DRG by spending

Hospitals558in 49 states and DC

Charges ÷ paid8.9×$41,930 average charge

Relative weight0.6770FY2027, 1.9-day geometric mean stay; FY2026 0.6844 (−1.1%)

In 2024 Medicare paid hospitals an average of $4,699 per discharge for MS‑DRG 066, across 9,902 fee-for-service discharges at 558 hospitals: 0.20% of all Medicare inpatient discharges and $46.5M in total, the 196th largest MS‑DRG by Medicare spending.

By state, the average ran from $3,206 in Vermont to $6,523 in Hawaii. Across hospitals, half were paid between $3,779 and $5,186 per case, and the median hospital $4,313; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $41,930 on average for these stays, 8.9 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 066 on the interactive map Price an MS‑DRG 066 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 066, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	0.6844	0.6770	−1.1%
Geometric mean stay (days)	1.9	1.9	0.0
Average stay (days)	2.3	2.2	−0.1

Not capped: the −1.1% 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)

$5,001.64

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 066
MS‑DRG	Severity	Payment ($)	Step ($)
064	with MCC	14,563.13	+9,561.49
065	with CC	7,319.98	+2,318.34
066	without CC/MCC	5,001.64	—

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 066 at a hospital

Paid per case, by state

MS‑DRG 066 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$7,680	480	26	1.4×
Hawaii	$6,523	44	3	6.8×
Alaska	$6,359	34	3	9.4×
California	$6,059	888	54	12.3×
Connecticut	$5,948	54	4	5.4×
New York	$5,881	564	30	9.5×
Rhode Island	$5,445	56	3	5.3×
Maine	$5,393	30	1	7.5×
Oklahoma	$5,312	78	6	8.2×
New Hampshire	$5,132	45	2	6.9×
Massachusetts	$5,041	348	18	4.2×
Georgia	$4,943	192	11	7.8×
Nevada	$4,935	40	2	6.1×
Utah	$4,756	91	4	5.2×
Texas	$4,701	475	29	11.6×
New Jersey	$4,612	342	20	12.4×
Idaho	$4,589	34	2	7.3×
Oregon	$4,579	51	4	5.8×
Delaware	$4,453	131	4	6.6×
Washington	$4,420	202	12	8.1×
Florida	$4,391	715	39	12.8×
Arizona	$4,373	261	14	10.0×
North Carolina	$4,340	420	25	7.5×
Alabama	$4,329	140	7	6.9×
South Dakota	$4,232	63	3	10.4×
Kansas	$4,193	75	4	15.5×
Pennsylvania	$4,121	513	28	10.1×
Indiana	$4,106	200	14	7.9×
Michigan	$4,088	209	14	6.6×
New Mexico	$4,057	43	3	6.9×
South Carolina	$4,051	270	15	9.1×
Wisconsin	$4,047	30	2	11.5×
Missouri	$4,024	253	14	8.6×
Ohio	$4,002	253	16	8.8×
Montana	$3,992	34	2	4.7×
Virginia	$3,980	398	21	8.9×
Minnesota	$3,970	145	8	6.2×
Illinois	$3,967	492	25	9.5×
Tennessee	$3,910	198	12	9.2×
North Dakota	$3,892	42	3	6.6×
Colorado	$3,890	57	3	22.3×
District of Columbia	$3,832	21	1	10.9×
Nebraska	$3,725	31	2	6.8×
Iowa	$3,723	134	8	8.7×
Mississippi	$3,702	157	6	9.2×
West Virginia	$3,682	92	5	9.6×
Kentucky	$3,672	168	8	12.2×
Louisiana	$3,528	193	12	9.0×
Arkansas	$3,295	94	5	7.3×
Vermont	$3,206	22	1	11.7×
United States	$4,699	9,902	558	8.9×

* 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 066.

10th percentile	$3,295
25th percentile	$3,779
Median hospital	$4,313
75th percentile	$5,186
90th percentile	$6,482

Related analysis

Transfers and the per-diem rule: when a short stay pays less than the full DRG · Inpatient DRG

The same condition at other severities

Questions

What did Medicare pay for MS‑DRG 066 in 2024?

An average of $4,699 per discharge across 9,902 fee-for-service discharges at 558 hospitals, $46.5M in total.

Which state paid the most for MS‑DRG 066?

Hawaii, at $6,523 per case; Vermont paid the least, $3,206.

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.