MS‑DRG 202: Bronchitis and Asthma with CC/MCC

What Medicare paid hospitals for MS‑DRG 202 in 2024: nationally, state by state and across hospitals.

Paid per case$7,1810.5× the all-DRG average

Discharges10,8160.22% of all Medicare discharges

Total paid$77.7M158th largest MS‑DRG by spending

Hospitals534in 45 states and DC

Charges ÷ paid6.7×$48,299 average charge

Relative weight0.9474FY2027, 2.8-day geometric mean stay; FY2026 0.9712 (−2.5%)

In 2024 Medicare paid hospitals an average of $7,181 per discharge for MS‑DRG 202, across 10,816 fee-for-service discharges at 534 hospitals: 0.22% of all Medicare inpatient discharges and $77.7M in total, the 158th largest MS‑DRG by Medicare spending.

By state, the average ran from $4,749 in West Virginia to $9,229 in Wyoming. Across hospitals, half were paid between $5,864 and $8,026 per case, and the median hospital $6,620; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $48,299 on average for these stays, 6.7 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 202 on the interactive map Price an MS‑DRG 202 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 202, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	0.9712	0.9474	−2.5%
Geometric mean stay (days)	2.9	2.8	−0.1
Average stay (days)	3.6	3.5	−0.1

Not capped: the −2.5% 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)

$6,999.34

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 202
MS‑DRG	Severity	Payment ($)	Step ($)
202	with CC/MCC	6,999.34	—
203	without CC/MCC	4,811.03	−2,188.31

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 202 at a hospital

Paid per case, by state

MS‑DRG 202 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$10,454	434	23	1.3×
Wyoming	$9,229	21	1	4.3×
California	$9,173	935	54	9.1×
New York	$9,114	1,003	38	7.5×
Utah	$8,973	17	1	3.2×
Connecticut	$8,632	108	6	4.4×
Hawaii	$8,552	17	1	4.0×
New Mexico	$7,847	11	1	4.1×
Oregon	$7,553	17	1	4.2×
Georgia	$7,548	286	16	6.4×
Rhode Island	$7,492	28	2	3.5×
Massachusetts	$7,399	693	30	2.9×
Washington	$7,383	27	2	5.3×
District of Columbia	$7,306	27	2	5.2×
New Jersey	$7,145	958	33	9.8×
Delaware	$6,779	112	4	4.5×
Nevada	$6,667	47	3	14.3×
Pennsylvania	$6,580	787	36	7.5×
North Carolina	$6,507	386	20	4.5×
Florida	$6,480	1,356	59	8.4×
Texas	$6,421	449	28	8.6×
Illinois	$6,387	666	32	5.9×
Kansas	$6,386	20	1	7.9×
Minnesota	$6,339	73	5	5.0×
Michigan	$6,327	319	16	4.5×
South Dakota	$6,234	15	1	4.9×
Arizona	$6,227	156	9	7.2×
Arkansas	$6,197	35	2	2.1×
New Hampshire	$6,157	13	1	5.6×
Montana	$6,121	22	2	3.7×
Colorado	$6,119	37	3	9.7×
Wisconsin	$6,103	84	5	6.4×
South Carolina	$6,102	114	7	5.7×
Virginia	$6,068	313	18	5.2×
Indiana	$5,959	147	10	5.0×
North Dakota	$5,860	30	2	3.6×
Missouri	$5,852	268	13	6.1×
Ohio	$5,712	276	17	6.7×
Alabama	$5,700	125	8	6.0×
Iowa	$5,608	14	1	5.4×
Nebraska	$5,585	24	2	5.5×
Mississippi	$5,581	16	1	3.9×
Louisiana	$5,473	83	5	7.3×
Tennessee	$5,310	62	4	5.8×
Kentucky	$5,022	159	6	6.2×
West Virginia	$4,749	26	2	8.6×
United States	$7,181	10,816	534	6.7×

* 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 202.

10th percentile	$5,322
25th percentile	$5,864
Median hospital	$6,620
75th percentile	$8,026
90th percentile	$9,617

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 202 in 2024?

An average of $7,181 per discharge across 10,816 fee-for-service discharges at 534 hospitals, $77.7M in total.

Which state paid the most for MS‑DRG 202?

Wyoming, at $9,229 per case; West Virginia paid the least, $4,749.

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.