MS‑DRG 205: Other Respiratory System Diagnoses with MCC

What Medicare paid hospitals for MS‑DRG 205 in 2024: nationally, state by state and across hospitals.

Paid per case$17,2421.1× the all-DRG average

Discharges4,4590.09% of all Medicare discharges

Total paid$76.9M159th largest MS‑DRG by spending

Hospitals199in 40 states and DC

Charges ÷ paid6.5×$112,096 average charge

Relative weight1.8244FY2027, 4.3-day geometric mean stay; FY2026 1.8310 (−0.4%)

In 2024 Medicare paid hospitals an average of $17,242 per discharge for MS‑DRG 205, across 4,459 fee-for-service discharges at 199 hospitals: 0.09% of all Medicare inpatient discharges and $76.9M in total, the 159th largest MS‑DRG by Medicare spending.

By state, the average ran from $10,521 in Mississippi to $25,269 in California. Across hospitals, half were paid between $12,229 and $16,728 per case, and the median hospital $14,499; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $112,096 on average for these stays, 6.5 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 205 on the interactive map Price an MS‑DRG 205 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 205, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.8310	1.8244	−0.4%
Geometric mean stay (days)	4.4	4.3	−0.1
Average stay (days)	6.0	6.0	0.0

Not capped: the −0.4% 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)

$13,478.58

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 205
MS‑DRG	Severity	Payment ($)	Step ($)
205	with MCC	13,478.58	—
206	without MCC	6,839.03	−6,639.55

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 205 at a hospital

Paid per case, by state

MS‑DRG 205 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$25,955	92	3	1.2×
California	$25,269	470	20	8.6×
New York	$23,209	403	15	7.5×
Massachusetts	$19,963	281	13	3.9×
Idaho	$18,215	11	1	5.2×
Pennsylvania	$17,724	260	9	11.6×
Colorado	$17,266	41	1	7.8×
Arizona	$17,048	96	4	7.4×
Texas	$16,987	420	15	6.7×
Connecticut	$15,798	66	3	3.9×
Washington	$15,749	29	2	5.0×
Wisconsin	$15,409	65	2	4.9×
Iowa	$15,403	20	1	6.3×
North Carolina	$15,314	128	5	4.0×
Minnesota	$15,230	139	6	4.6×
Kansas	$15,067	33	1	7.4×
Illinois	$14,901	253	11	5.2×
Utah	$14,777	23	1	2.5×
New Jersey	$14,640	162	11	7.1×
Missouri	$14,610	100	4	4.9×
District of Columbia	$14,499	11	1	5.0×
Nevada	$14,442	12	1	13.2×
Virginia	$14,353	111	5	4.6×
Georgia	$14,042	75	4	6.6×
Michigan	$13,778	139	8	4.0×
Kentucky	$13,669	58	2	5.5×
Oklahoma	$13,636	28	2	7.1×
Delaware	$13,428	36	2	3.7×
Florida	$13,374	352	15	7.0×
Indiana	$13,337	93	5	5.1×
New Hampshire	$13,054	26	2	3.0×
South Carolina	$13,039	30	2	4.8×
Ohio	$12,980	123	5	6.0×
North Dakota	$12,770	14	1	3.8×
Nebraska	$12,745	28	2	4.6×
South Dakota	$12,634	24	2	4.4×
New Mexico	$12,286	17	1	4.7×
Tennessee	$11,635	92	5	5.6×
Alabama	$11,603	59	3	6.5×
Louisiana	$10,782	13	1	6.9×
Mississippi	$10,521	26	2	4.9×
United States	$17,242	4,459	199	6.5×

* 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 205.

10th percentile	$11,247
25th percentile	$12,229
Median hospital	$14,499
75th percentile	$16,728
90th percentile	$20,042

Related analysis

Transfers and the per-diem rule: when a short stay pays less than the full DRG · Inpatient DRG
DRG validation and the single-MCC claim: when one code moves the payment · Payment integrity

The same condition at other severities

206Other Respiratory System Diagnoses without MCC · $8,215

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 205 in 2024?

An average of $17,242 per discharge across 4,459 fee-for-service discharges at 199 hospitals, $76.9M in total.

Which state paid the most for MS‑DRG 205?

California, at $25,269 per case; Mississippi paid the least, $10,521.

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.