MS‑DRG 219: Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC

What Medicare paid hospitals for MS‑DRG 219 in 2024: nationally, state by state and across hospitals.

Paid per case$69,3874.6× the all-DRG average

Discharges12,3330.25% of all Medicare discharges

Total paid$855.7M17th largest MS‑DRG by spending

Hospitals350in 48 states and DC

Charges ÷ paid5.7×$393,302 average charge

Relative weight7.6434FY2027, 8.0-day geometric mean stay; FY2026 7.6783 (−0.5%)

In 2024 Medicare paid hospitals an average of $69,387 per discharge for MS‑DRG 219, across 12,333 fee-for-service discharges at 350 hospitals: 0.25% of all Medicare inpatient discharges and $855.7M in total, the 17th largest MS‑DRG by Medicare spending.

By state, the average ran from $47,792 in Vermont to $98,098 in California. Across hospitals, half were paid between $54,033 and $74,244 per case, and the median hospital $62,671; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $393,302 on average for these stays, 5.7 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 219 on the interactive map Price an MS‑DRG 219 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 219, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	7.6783	7.6434	−0.5%
Geometric mean stay (days)	8.2	8.0	−0.2
Average stay (days)	10.0	9.7	−0.3

Not capped: the −0.5% 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)

$56,469.06

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 219
MS‑DRG	Severity	Payment ($)	Step ($)
219	with MCC	56,469.06	—
220	with CC	40,682.49	−15,786.57
221	without CC/MCC	34,803.15	−21,665.91

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 219 at a hospital

Paid per case, by state

MS‑DRG 219 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$124,644	136	4	1.2×
California	$98,098	1,058	30	7.4×
Delaware	$86,191	26	1	4.0×
New York	$82,402	866	18	5.1×
Massachusetts	$79,488	662	10	3.5×
District of Columbia	$74,401	131	1	4.2×
Utah	$72,641	61	2	4.1×
Hawaii	$72,561	32	2	4.3×
Virginia	$72,194	392	8	5.9×
Minnesota	$71,905	432	10	3.8×
Oregon	$71,785	191	5	4.1×
Washington	$69,795	263	7	5.7×
Connecticut	$69,556	172	5	3.2×
New Jersey	$69,551	317	10	6.3×
New Mexico	$69,369	24	2	2.9×
Rhode Island	$69,187	32	1	2.9×
Arizona	$68,872	247	10	6.4×
Michigan	$68,203	265	8	3.8×
Pennsylvania	$67,220	742	20	7.2×
South Carolina	$67,044	122	5	5.5×
New Hampshire	$66,725	75	3	5.9×
Illinois	$66,689	546	15	5.7×
Nevada	$66,224	70	5	9.9×
Alabama	$65,606	131	3	6.1×
Colorado	$65,068	201	8	7.1×
Missouri	$63,564	301	9	5.1×
Idaho	$63,495	42	3	4.5×
Georgia	$62,261	274	9	6.2×
Texas	$61,415	949	25	7.1×
West Virginia	$61,169	56	2	5.5×
Montana	$60,176	76	2	2.8×
Wisconsin	$59,368	235	7	4.5×
North Carolina	$58,433	287	12	4.9×
Florida	$58,188	694	24	7.7×
Indiana	$58,022	209	5	5.8×
Iowa	$58,000	140	3	4.8×
Ohio	$57,998	789	12	5.0×
Kansas	$57,826	123	3	7.0×
Maine	$57,189	53	2	4.5×
Nebraska	$56,804	117	4	4.2×
Tennessee	$56,422	247	9	6.9×
Kentucky	$56,359	130	6	5.7×
Mississippi	$55,764	60	4	4.1×
Louisiana	$55,455	23	2	4.1×
North Dakota	$54,877	35	3	3.9×
Arkansas	$52,729	139	4	4.8×
South Dakota	$50,122	34	2	5.1×
Oklahoma	$49,703	104	4	6.6×
Vermont	$47,792	22	1	4.5×
United States	$69,387	12,333	350	5.7×

* 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 219.

10th percentile	$49,478
25th percentile	$54,033
Median hospital	$62,671
75th percentile	$74,244
90th percentile	$86,284

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

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 219 in 2024?

An average of $69,387 per discharge across 12,333 fee-for-service discharges at 350 hospitals, $855.7M in total.

Which state paid the most for MS‑DRG 219?

California, at $98,098 per case; Vermont paid the least, $47,792.

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.