MS‑DRG 229: Other Cardiothoracic Procedures without MCC

What Medicare paid hospitals for MS‑DRG 229 in 2024: nationally, state by state and across hospitals.

Paid per case$26,6811.8× the all-DRG average

Discharges3,8890.08% of all Medicare discharges

Total paid$103.8M128th largest MS‑DRG by spending

Hospitals198in 42 states and DC

Charges ÷ paid6.3×$168,655 average charge

Relative weight3.4406FY2027, 2.5-day geometric mean stay; FY2026 3.1495 (+9.2%)

In 2024 Medicare paid hospitals an average of $26,681 per discharge for MS‑DRG 229, across 3,889 fee-for-service discharges at 198 hospitals: 0.08% of all Medicare inpatient discharges and $103.8M in total, the 128th largest MS‑DRG by Medicare spending.

By state, the average ran from $14,568 in Vermont to $34,477 in California. Across hospitals, half were paid between $22,028 and $29,713 per case, and the median hospital $24,735; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $168,655 on average for these stays, 6.3 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 229 on the interactive map Price an MS‑DRG 229 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 229, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	3.1495	3.4406	+9.2%
Geometric mean stay (days)	2.4	2.5	+0.1
Average stay (days)	3.2	3.3	+0.1

Not capped: the +9.2% 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)

$25,418.98

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 229
MS‑DRG	Severity	Payment ($)	Step ($)
228	with MCC	36,692.99	+11,274.01
229	without MCC	25,418.98	—

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 229 at a hospital

Paid per case, by state

MS‑DRG 229 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
California	$34,477	625	26	6.5×
Massachusetts	$33,771	102	5	3.4×
New York	$33,352	303	12	5.6×
Connecticut	$31,375	15	1	2.7×
District of Columbia	$31,159	27	1	4.9×
Pennsylvania	$31,026	55	4	7.9×
Minnesota	$30,108	29	2	4.3×
South Carolina	$29,562	26	2	5.6×
New Jersey	$28,833	74	4	6.2×
West Virginia	$27,642	58	3	6.1×
Washington	$26,940	89	7	5.6×
New Hampshire	$26,604	55	3	5.3×
Wisconsin	$26,401	49	3	5.1×
Maine	$26,342	15	1	5.1×
Illinois	$25,478	144	9	5.5×
Idaho	$25,396	38	2	7.7×
Michigan	$25,354	70	6	5.1×
South Dakota	$24,846	25	2	5.4×
Arizona	$24,820	138	7	8.3×
North Carolina	$24,768	102	5	5.6×
Ohio	$24,389	60	3	5.7×
Georgia	$24,033	109	7	6.7×
Oregon	$24,016	17	1	5.8×
Florida	$23,833	494	20	7.6×
Maryland*	$23,461	14	1	1.5×
North Dakota	$23,289	13	1	3.6×
Indiana	$23,001	24	2	3.7×
Delaware	$22,936	14	1	4.2×
Virginia	$22,897	63	5	8.8×
Nebraska	$22,881	71	4	4.4×
Texas	$22,731	263	10	8.2×
Kansas	$22,437	52	4	8.0×
Arkansas	$22,292	98	3	4.7×
Tennessee	$22,259	98	5	5.5×
Colorado	$21,830	37	2	5.0×
Missouri	$21,335	109	6	5.8×
Kentucky	$21,235	100	5	9.0×
Iowa	$20,432	14	1	5.6×
Mississippi	$20,063	45	4	6.2×
Oklahoma	$19,854	66	3	5.2×
Alabama	$18,906	35	2	6.4×
New Mexico	$18,839	43	2	7.8×
Vermont	$14,568	11	1	7.8×
United States	$26,681	3,889	198	6.3×

* 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 229.

10th percentile	$19,977
25th percentile	$22,028
Median hospital	$24,735
75th percentile	$29,713
90th percentile	$34,086

The same condition at other severities

228Other Cardiothoracic Procedures with MCC · $47,422

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 229 in 2024?

An average of $26,681 per discharge across 3,889 fee-for-service discharges at 198 hospitals, $103.8M in total.

Which state paid the most for MS‑DRG 229?

California, at $34,477 per case; Vermont paid the least, $14,568.

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.