MS‑DRG 087: Traumatic Stupor and Coma <1 Hour without CC/MCC
What Medicare paid hospitals for MS‑DRG 087 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $6,485 per discharge for MS‑DRG 087, across 1,091 fee-for-service discharges at 72 hospitals: 0.02% of all Medicare inpatient discharges and $7.1M in total, the 325th largest MS‑DRG by Medicare spending.
By state, the average ran from $4,642 in Pennsylvania to $12,303 in Georgia. Across hospitals, half were paid between $5,497 and $6,929 per case, and the median hospital $5,950; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $66,389 on average for these stays, 10.2 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.
What changed in FY2027
The rates for discharges from October 1, 2026 (MS‑DRG version 44) against FY2026.
| FY2026 | FY2027 | Change | |
|---|---|---|---|
| Relative weight | 0.9147 | 0.9223 | +0.8% |
| Geometric mean stay (days) | 1.9 | 2.0 | +0.1 |
| Average stay (days) | 2.3 | 2.3 | 0.0 |
- Not capped: the +0.8% 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)
$6,813.91
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 inpatient rates: what else changed on October 1 · Price MS‑DRG 087 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Georgia | $12,303 | 28 | 2 | 5.3× |
| California | $8,996 | 122 | 9 | 10.7× |
| New Jersey | $7,728 | 36 | 3 | 14.9× |
| New York | $7,654 | 16 | 1 | 10.0× |
| Alabama | $7,087 | 25 | 2 | 6.9× |
| Texas | $6,954 | 82 | 5 | 9.3× |
| Nevada | $6,639 | 30 | 2 | 10.5× |
| North Carolina | $6,488 | 40 | 2 | 5.7× |
| New Hampshire | $6,304 | 22 | 1 | 10.8× |
| Missouri | $6,240 | 12 | 1 | 6.6× |
| Colorado | $6,056 | 11 | 1 | 13.9× |
| Florida | $6,010 | 225 | 13 | 13.4× |
| South Carolina | $5,946 | 35 | 2 | 19.7× |
| Tennessee | $5,907 | 42 | 3 | 8.9× |
| Delaware | $5,865 | 17 | 1 | 4.6× |
| Arizona | $5,765 | 44 | 3 | 10.2× |
| Michigan | $5,722 | 11 | 1 | 2.9× |
| Virginia | $5,583 | 51 | 4 | 8.0× |
| Illinois | $5,370 | 59 | 4 | 5.9× |
| West Virginia | $5,364 | 28 | 2 | 5.4× |
| Louisiana | $5,265 | 37 | 3 | 9.6× |
| Nebraska | $5,139 | 12 | 1 | 5.8× |
| Kansas | $5,095 | 28 | 1 | 23.3× |
| Indiana | $4,872 | 33 | 2 | 5.5× |
| Iowa | $4,690 | 26 | 2 | 7.7× |
| Pennsylvania | $4,642 | 19 | 1 | 6.3× |
| United States | $6,485 | 1,091 | 72 | 10.2× |
How much hospitals vary
Each hospital’s own average Medicare payment for MS‑DRG 087.
| 10th percentile | $4,832 |
|---|---|
| 25th percentile | $5,497 |
| Median hospital | $5,950 |
| 75th percentile | $6,929 |
| 90th percentile | $8,269 |
Related analysis
The same condition at other severities
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Nearby MS‑DRG numbers
Questions
What did Medicare pay for MS‑DRG 087 in 2024?
An average of $6,485 per discharge across 1,091 fee-for-service discharges at 72 hospitals, $7.1M in total.
Which state paid the most for MS‑DRG 087?
Georgia, at $12,303 per case; Pennsylvania paid the least, $4,642.
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.