MS‑DRG 228: Other Cardiothoracic Procedures with MCC
What Medicare paid hospitals for MS‑DRG 228 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $47,422 per discharge for MS‑DRG 228, across 2,279 fee-for-service discharges at 134 hospitals: 0.05% of all Medicare inpatient discharges and $108.1M in total, the 123rd largest MS‑DRG by Medicare spending.
By state, the average ran from $31,288 in Mississippi to $60,627 in Minnesota. Across hospitals, half were paid between $36,351 and $54,294 per case, and the median hospital $43,703; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $265,880 on average for these stays, 5.6 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 | 4.9474 | 4.9666 | +0.4% |
| Geometric mean stay (days) | 6.1 | 5.9 | −0.2 |
| Average stay (days) | 8.5 | 8.1 | −0.4 |
- 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)
$36,692.99
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 ($) |
|---|---|---|---|
| 228 | with MCC | 36,692.99 | — |
| 229 | without MCC | 25,418.98 | −11,274.01 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 228 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Minnesota | $60,627 | 20 | 1 | 3.6× |
| New York | $60,561 | 290 | 14 | 5.7× |
| Massachusetts | $59,715 | 136 | 6 | 3.2× |
| California | $59,587 | 361 | 20 | 6.2× |
| New Hampshire | $56,087 | 12 | 1 | 2.9× |
| Connecticut | $53,812 | 33 | 2 | 3.3× |
| Pennsylvania | $50,915 | 24 | 2 | 9.5× |
| District of Columbia | $49,784 | 25 | 1 | 5.3× |
| South Carolina | $49,165 | 32 | 2 | 8.1× |
| New Jersey | $47,230 | 88 | 6 | 6.5× |
| Maryland* | $46,804 | 12 | 1 | 1.6× |
| Nevada | $46,300 | 13 | 1 | 6.3× |
| Washington | $45,259 | 41 | 3 | 5.3× |
| North Carolina | $44,646 | 63 | 4 | 4.2× |
| Arizona | $44,193 | 24 | 2 | 7.0× |
| Iowa | $44,181 | 17 | 1 | 4.5× |
| Illinois | $42,559 | 88 | 6 | 5.3× |
| Wisconsin | $41,524 | 51 | 4 | 3.9× |
| Ohio | $41,124 | 62 | 3 | 4.8× |
| Texas | $40,989 | 106 | 6 | 7.8× |
| Georgia | $40,887 | 38 | 3 | 7.8× |
| Michigan | $39,564 | 15 | 1 | 5.4× |
| West Virginia | $38,725 | 16 | 1 | 3.7× |
| Virginia | $38,537 | 55 | 4 | 4.3× |
| Tennessee | $37,609 | 72 | 4 | 5.3× |
| Florida | $37,295 | 292 | 15 | 6.7× |
| Kansas | $36,535 | 28 | 2 | 7.0× |
| Oklahoma | $35,699 | 31 | 2 | 4.7× |
| Alabama | $35,614 | 17 | 1 | 2.5× |
| Maine | $35,512 | 22 | 1 | 4.3× |
| Colorado | $34,990 | 26 | 2 | 4.1× |
| New Mexico | $34,420 | 14 | 1 | 4.0× |
| Kentucky | $34,411 | 54 | 4 | 6.4× |
| Missouri | $33,994 | 44 | 3 | 6.0× |
| Arkansas | $33,891 | 27 | 2 | 3.7× |
| Louisiana | $32,777 | 14 | 1 | 3.6× |
| Mississippi | $31,288 | 16 | 1 | 3.6× |
| United States | $47,422 | 2,279 | 134 | 5.6× |
* 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 228.
| 10th percentile | $34,430 |
|---|---|
| 25th percentile | $36,351 |
| Median hospital | $43,703 |
| 75th percentile | $54,294 |
| 90th percentile | $61,927 |
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Questions
What did Medicare pay for MS‑DRG 228 in 2024?
An average of $47,422 per discharge across 2,279 fee-for-service discharges at 134 hospitals, $108.1M in total.
Which state paid the most for MS‑DRG 228?
Minnesota, at $60,627 per case; Mississippi paid the least, $31,288.
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.