MS‑DRG 180: Respiratory Neoplasms with MCC

What Medicare paid hospitals for MS‑DRG 180 in 2024: nationally, state by state and across hospitals.

Paid per case$14,6961.0× the all-DRG average

Discharges8,1570.16% of all Medicare discharges

Total paid$119.9M117th largest MS‑DRG by spending

Hospitals445in 48 states and DC

Charges ÷ paid6.4×$93,917 average charge

Relative weight1.7806FY2027, 4.7-day geometric mean stay; FY2026 1.7660 (+0.8%)

In 2024 Medicare paid hospitals an average of $14,696 per discharge for MS‑DRG 180, across 8,157 fee-for-service discharges at 445 hospitals: 0.16% of all Medicare inpatient discharges and $119.9M in total, the 117th largest MS‑DRG by Medicare spending.

By state, the average ran from $9,967 in Vermont to $23,237 in Alaska. Across hospitals, half were paid between $11,848 and $15,808 per case, and the median hospital $13,281; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $93,917 on average for these stays, 6.4 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 180 on the interactive map Price an MS‑DRG 180 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 180, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.7660	1.7806	+0.8%
Geometric mean stay (days)	4.8	4.7	−0.1
Average stay (days)	6.5	6.4	−0.1

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)

$13,154.98

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 180
MS‑DRG	Severity	Payment ($)	Step ($)
180	with MCC	13,154.98	—
181	with CC	8,079.46	−5,075.52
182	without CC/MCC	5,495.90	−7,659.08

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 180 at a hospital

Paid per case, by state

MS‑DRG 180 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Alaska	$23,237	13	1	2.9×
Maryland*	$22,571	304	18	1.2×
California	$20,159	827	46	8.2×
New York	$17,991	605	28	7.9×
Oregon	$17,724	35	2	3.6×
Massachusetts	$17,157	409	15	3.5×
District of Columbia	$16,940	49	3	6.0×
Connecticut	$16,870	98	5	4.5×
Utah	$16,054	28	1	3.9×
Rhode Island	$15,665	28	2	3.2×
New Hampshire	$15,492	39	2	4.1×
Hawaii	$15,318	33	1	5.2×
Minnesota	$15,283	139	8	3.9×
Nevada	$14,667	76	5	12.0×
Washington	$14,564	151	11	6.3×
New Jersey	$14,425	443	23	8.1×
North Carolina	$13,573	225	11	4.5×
Illinois	$13,509	523	27	5.6×
Pennsylvania	$13,476	330	19	7.9×
Arizona	$13,416	134	8	4.8×
Colorado	$13,388	54	3	7.5×
Georgia	$13,211	182	12	6.8×
Nebraska	$13,135	48	3	4.2×
Wisconsin	$13,072	48	3	4.4×
Michigan	$13,071	197	13	4.3×
Delaware	$13,008	57	2	4.4×
Missouri	$12,996	130	6	6.1×
South Dakota	$12,654	51	3	5.3×
South Carolina	$12,588	132	9	6.3×
Texas	$12,517	443	22	8.9×
Maine	$12,357	22	2	6.0×
Florida	$12,281	627	33	8.5×
Kansas	$12,254	121	5	9.2×
Oklahoma	$12,250	134	8	6.3×
Virginia	$12,148	298	18	5.8×
Indiana	$12,110	160	9	5.4×
Ohio	$11,877	272	16	5.9×
Iowa	$11,807	65	4	6.5×
West Virginia	$11,627	24	2	5.3×
Kentucky	$11,507	72	4	5.9×
Idaho	$11,417	12	1	3.3×
New Mexico	$11,337	25	1	3.9×
North Dakota	$11,286	25	2	5.0×
Tennessee	$11,265	184	10	6.7×
Alabama	$11,094	67	4	5.2×
Arkansas	$10,746	43	3	6.4×
Mississippi	$10,717	97	6	5.2×
Louisiana	$10,660	61	4	5.1×
Vermont	$9,967	17	1	9.4×
United States	$14,696	8,157	445	6.4×

* 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 180.

10th percentile	$10,679
25th percentile	$11,848
Median hospital	$13,281
75th percentile	$15,808
90th percentile	$18,830

Related analysis

DRG validation and the single-MCC claim: when one code moves the payment · Payment integrity

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 180 in 2024?

An average of $14,696 per discharge across 8,157 fee-for-service discharges at 445 hospitals, $119.9M in total.

Which state paid the most for MS‑DRG 180?

Alaska, at $23,237 per case; Vermont paid the least, $9,967.

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.