MS‑DRG 184: Major Chest Trauma with CC

What Medicare paid hospitals for MS‑DRG 184 in 2024: nationally, state by state and across hospitals.

Paid per case$8,1980.5× the all-DRG average

Discharges6,2650.13% of all Medicare discharges

Total paid$51.4M192nd largest MS‑DRG by spending

Hospitals300in 43 states and DC

Charges ÷ paid7.4×$60,578 average charge

Relative weight1.0647FY2027, 3.1-day geometric mean stay; FY2026 1.0641 (+0.1%)

In 2024 Medicare paid hospitals an average of $8,198 per discharge for MS‑DRG 184, across 6,265 fee-for-service discharges at 300 hospitals: 0.13% of all Medicare inpatient discharges and $51.4M in total, the 192nd largest MS‑DRG by Medicare spending.

By state, the average ran from $5,924 in Iowa to $11,581 in Georgia. Across hospitals, half were paid between $6,682 and $8,897 per case, and the median hospital $7,558; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $60,578 on average for these stays, 7.4 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 184 on the interactive map Price an MS‑DRG 184 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 184, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.0641	1.0647	+0.1%
Geometric mean stay (days)	3.1	3.1	0.0
Average stay (days)	3.7	3.7	0.0

Not capped: the +0.1% 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)

$7,865.95

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 184
MS‑DRG	Severity	Payment ($)	Step ($)
183	with MCC	11,010.26	+3,144.31
184	with CC	7,865.95	—
185	without CC/MCC	5,699.80	−2,166.15

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 184 at a hospital

Paid per case, by state

MS‑DRG 184 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$11,618	83	4	1.3×
Georgia	$11,581	133	7	6.7×
California	$11,559	450	20	11.3×
Connecticut	$10,255	98	6	4.2×
District of Columbia	$10,025	32	2	6.5×
New Mexico	$10,006	15	1	2.4×
Rhode Island	$9,652	59	1	3.4×
New York	$9,585	512	23	7.9×
Nevada	$8,988	64	3	9.6×
Massachusetts	$8,874	475	18	3.4×
New Jersey	$8,445	117	5	9.5×
New Hampshire	$8,350	50	3	6.5×
Texas	$8,193	322	20	8.1×
Tennessee	$7,937	169	7	7.3×
Washington	$7,906	123	5	6.3×
Oklahoma	$7,835	33	2	9.5×
North Carolina	$7,759	247	11	5.7×
Minnesota	$7,742	103	5	3.8×
Delaware	$7,695	46	1	4.0×
Arizona	$7,679	104	4	8.3×
Missouri	$7,636	124	7	5.6×
Nebraska	$7,553	96	3	4.4×
South Carolina	$7,457	141	7	9.1×
Indiana	$7,414	87	4	6.0×
Maine	$7,401	40	1	6.2×
South Dakota	$7,382	41	2	5.3×
Idaho	$7,372	31	2	6.4×
Utah	$7,351	47	3	5.2×
Colorado	$7,252	88	6	11.1×
Alabama	$7,217	27	2	9.0×
Pennsylvania	$7,123	609	26	8.2×
Wisconsin	$7,083	95	6	6.2×
Florida	$7,062	427	23	11.1×
North Dakota	$7,049	26	1	6.0×
Virginia	$7,032	350	15	7.7×
Illinois	$6,974	115	7	6.5×
Montana	$6,973	24	2	3.1×
Ohio	$6,911	222	13	6.4×
Michigan	$6,847	182	8	5.2×
West Virginia	$6,681	49	3	6.9×
Kansas	$6,641	63	4	14.1×
Arkansas	$6,434	12	1	5.6×
Kentucky	$6,211	65	3	7.6×
Iowa	$5,924	69	3	9.0×
United States	$8,198	6,265	300	7.4×

* 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 184.

10th percentile	$5,990
25th percentile	$6,682
Median hospital	$7,558
75th percentile	$8,897
90th percentile	$10,380

Related analysis

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

The same condition at other severities

183Major Chest Trauma with MCC · $13,357

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 184 in 2024?

An average of $8,198 per discharge across 6,265 fee-for-service discharges at 300 hospitals, $51.4M in total.

Which state paid the most for MS‑DRG 184?

Georgia, at $11,581 per case; Iowa paid the least, $5,924.

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.