MS‑DRG 236: Coronary Bypass without Cardiac Catheterization without MCC

What Medicare paid hospitals for MS‑DRG 236 in 2024: nationally, state by state and across hospitals.

Paid per case$29,6542.0× the all-DRG average

Discharges12,3460.25% of all Medicare discharges

Total paid$366.1M53rd largest MS‑DRG by spending

Hospitals453in 49 states and DC

Charges ÷ paid6.8×$200,763 average charge

Relative weight4.3338FY2027, 5.7-day geometric mean stay; FY2026 4.1888 (+3.5%)

In 2024 Medicare paid hospitals an average of $29,654 per discharge for MS‑DRG 236, across 12,346 fee-for-service discharges at 453 hospitals: 0.25% of all Medicare inpatient discharges and $366.1M in total, the 53rd largest MS‑DRG by Medicare spending.

By state, the average ran from $22,886 in Arkansas to $41,609 in California. Across hospitals, half were paid between $25,261 and $32,378 per case, and the median hospital $27,952; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $200,763 on average for these stays, 6.8 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 236 on the interactive map Price an MS‑DRG 236 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 236, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	4.1888	4.3338	+3.5%
Geometric mean stay (days)	5.8	5.7	−0.1
Average stay (days)	6.2	6.1	−0.1

Not capped: the +3.5% 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)

$32,017.90

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 236
MS‑DRG	Severity	Payment ($)	Step ($)
235	with MCC	43,209.90	+11,192.00
236	without MCC	32,017.90	—

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 236 at a hospital

Paid per case, by state

MS‑DRG 236 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$52,740	443	11	1.2×
California	$41,609	469	21	9.3×
Massachusetts	$38,787	228	9	2.9×
Hawaii	$35,669	24	1	5.5×
Rhode Island	$35,076	17	1	3.6×
District of Columbia	$35,075	97	2	5.4×
Oregon	$34,429	101	5	4.8×
Connecticut	$34,399	32	2	3.4×
New York	$34,186	487	18	6.0×
New Jersey	$33,138	468	11	6.9×
Colorado	$30,989	65	4	11.3×
Minnesota	$30,835	186	8	4.4×
Washington	$30,689	272	12	8.4×
Idaho	$30,548	56	3	7.0×
Delaware	$30,519	73	3	3.9×
Pennsylvania	$30,443	607	23	7.0×
Virginia	$30,185	392	12	5.6×
Alaska	$29,998	38	1	8.9×
Michigan	$29,781	179	8	4.8×
Arizona	$29,619	290	13	7.9×
Nevada	$29,314	41	3	9.5×
New Hampshire	$29,161	54	3	5.7×
Illinois	$28,662	454	20	6.6×
North Carolina	$28,656	502	14	5.2×
South Dakota	$27,818	138	3	5.8×
Montana	$27,354	88	4	4.3×
Wisconsin	$27,338	209	10	4.9×
Missouri	$27,323	380	13	6.0×
Indiana	$27,285	303	13	6.5×
Texas	$27,195	732	31	9.1×
Ohio	$27,085	451	18	7.8×
Maine	$27,025	47	2	5.4×
Georgia	$26,908	341	14	8.2×
Florida	$26,827	978	31	10.7×
North Dakota	$26,682	98	3	3.5×
Nebraska	$26,633	99	4	4.7×
Utah	$26,578	110	6	6.7×
Vermont	$26,384	30	1	3.8×
Iowa	$26,299	141	6	5.8×
South Carolina	$26,250	358	13	9.4×
Louisiana	$25,983	273	12	6.8×
New Mexico	$25,595	31	1	12.7×
Tennessee	$25,550	535	16	7.8×
West Virginia	$25,245	102	3	8.4×
Kentucky	$25,048	249	10	7.6×
Kansas	$24,191	136	6	9.6×
Alabama	$23,900	256	8	7.7×
Oklahoma	$23,553	245	4	6.8×
Mississippi	$23,380	177	6	5.0×
Arkansas	$22,886	264	7	4.9×
United States	$29,654	12,346	453	6.8×

* 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 236.

10th percentile	$23,233
25th percentile	$25,261
Median hospital	$27,952
75th percentile	$32,378
90th percentile	$37,976

Related analysis

Transfers and the per-diem rule: when a short stay pays less than the full DRG · Inpatient DRG

The same condition at other severities

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 236 in 2024?

An average of $29,654 per discharge across 12,346 fee-for-service discharges at 453 hospitals, $366.1M in total.

Which state paid the most for MS‑DRG 236?

California, at $41,609 per case; Arkansas paid the least, $22,886.

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.