MS‑DRG 206: Other Respiratory System Diagnoses without MCC
What Medicare paid hospitals for MS‑DRG 206 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $8,215 per discharge for MS‑DRG 206, across 1,679 fee-for-service discharges at 97 hospitals: 0.03% of all Medicare inpatient discharges and $13.8M in total, the 282nd largest MS‑DRG by Medicare spending.
By state, the average ran from $3,941 in Louisiana to $10,386 in Indiana. Across hospitals, half were paid between $6,173 and $9,028 per case, and the median hospital $7,600; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $66,416 on average for these stays, 8.1 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 | 0.9411 | 0.9257 | −1.6% |
| Geometric mean stay (days) | 2.4 | 2.4 | 0.0 |
| Average stay (days) | 3.1 | 3.1 | 0.0 |
- Not capped: the −1.6% 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)
$6,839.03
The FY2027 weight times the operating standardized amount and the capital rate ($6,848.00 + $539.95) at a wage index of 1.0. No IME, DSH, outlier or other hospital-specific adjustment, so it is not what any hospital is paid; price it at a hospital for that.
| MS‑DRG | Severity | Payment ($) | Step ($) |
|---|---|---|---|
| 205 | with MCC | 13,478.58 | +6,639.55 |
| 206 | without MCC | 6,839.03 | — |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 206 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $13,492 | 40 | 2 | 1.4× |
| Indiana | $10,386 | 28 | 2 | 8.4× |
| New York | $10,264 | 195 | 9 | 9.7× |
| Texas | $9,819 | 91 | 4 | 10.6× |
| North Carolina | $9,428 | 87 | 5 | 6.4× |
| California | $9,284 | 323 | 16 | 7.5× |
| Connecticut | $9,270 | 15 | 1 | 4.7× |
| Rhode Island | $8,460 | 11 | 1 | 3.5× |
| Nebraska | $7,906 | 18 | 1 | 6.4× |
| Ohio | $7,860 | 25 | 2 | 6.5× |
| Massachusetts | $7,836 | 133 | 9 | 3.9× |
| New Jersey | $7,658 | 40 | 3 | 6.9× |
| Missouri | $7,457 | 26 | 1 | 9.3× |
| South Carolina | $7,272 | 18 | 1 | 4.9× |
| Pennsylvania | $7,154 | 134 | 7 | 13.4× |
| Wisconsin | $7,122 | 19 | 1 | 8.7× |
| Arizona | $7,008 | 13 | 1 | 20.4× |
| Illinois | $6,964 | 32 | 2 | 5.3× |
| Delaware | $6,957 | 23 | 1 | 3.2× |
| Michigan | $6,893 | 23 | 2 | 5.8× |
| Minnesota | $6,818 | 26 | 2 | 6.3× |
| Washington | $6,788 | 18 | 1 | 6.4× |
| Nevada | $6,639 | 12 | 1 | 18.2× |
| Oklahoma | $6,173 | 13 | 1 | 7.5× |
| Tennessee | $6,167 | 31 | 2 | 11.2× |
| Kansas | $5,916 | 12 | 1 | 9.8× |
| Alabama | $5,883 | 16 | 1 | 4.7× |
| Florida | $5,840 | 215 | 14 | 10.2× |
| Virginia | $5,547 | 20 | 1 | 6.6× |
| West Virginia | $4,717 | 11 | 1 | 4.0× |
| Louisiana | $3,941 | 11 | 1 | 9.4× |
| United States | $8,215 | 1,679 | 97 | 8.1× |
* 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 206.
| 10th percentile | $5,430 |
|---|---|
| 25th percentile | $6,173 |
| Median hospital | $7,600 |
| 75th percentile | $9,028 |
| 90th percentile | $10,190 |
Related analysis
The same condition at other severities
More in Respiratory system
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Questions
What did Medicare pay for MS‑DRG 206 in 2024?
An average of $8,215 per discharge across 1,679 fee-for-service discharges at 97 hospitals, $13.8M in total.
Which state paid the most for MS‑DRG 206?
Indiana, at $10,386 per case; Louisiana paid the least, $3,941.
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.