MS‑DRG 244: Permanent Cardiac Pacemaker Implant without CC/MCC

What Medicare paid hospitals for MS‑DRG 244 in 2024: nationally, state by state and across hospitals.

Paid per case$13,2160.9× the all-DRG average

Discharges4,0070.08% of all Medicare discharges

Total paid$53.0M190th largest MS‑DRG by spending

Hospitals241in 46 states and DC

Charges ÷ paid6.7×$88,202 average charge

Relative weight1.7638FY2027, 2.1-day geometric mean stay; FY2026 1.8075 (−2.4%)

In 2024 Medicare paid hospitals an average of $13,216 per discharge for MS‑DRG 244, across 4,007 fee-for-service discharges at 241 hospitals: 0.08% of all Medicare inpatient discharges and $53.0M in total, the 190th largest MS‑DRG by Medicare spending.

By state, the average ran from $6,330 in Vermont to $17,907 in California. Across hospitals, half were paid between $11,517 and $14,261 per case, and the median hospital $12,569; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $88,202 on average for these stays, 6.7 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 244 on the interactive map Price an MS‑DRG 244 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 244, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.8075	1.7638	−2.4%
Geometric mean stay (days)	2.1	2.1	0.0
Average stay (days)	2.5	2.4	−0.1

Not capped: the −2.4% 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)

$13,030.87

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 244
MS‑DRG	Severity	Payment ($)	Step ($)
242	with MCC	23,077.00	+10,046.13
243	with CC	15,573.06	+2,542.19
244	without CC/MCC	13,030.87	—

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 244 at a hospital

Paid per case, by state

MS‑DRG 244 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$19,794	133	8	1.3×
California	$17,907	175	11	8.5×
Massachusetts	$16,953	107	6	3.3×
District of Columbia	$16,174	20	1	5.7×
New York	$15,838	261	17	6.1×
Wyoming	$15,480	18	1	4.2×
Nevada	$15,164	33	2	12.0×
Connecticut	$14,853	41	2	4.1×
New Jersey	$14,784	102	5	7.4×
Alaska	$14,478	16	1	6.8×
Washington	$14,263	49	4	5.7×
Oregon	$14,248	66	3	4.8×
New Hampshire	$13,913	61	4	4.9×
Minnesota	$13,837	99	6	5.8×
Utah	$13,664	13	1	3.0×
Delaware	$13,546	53	2	4.6×
Montana	$13,121	49	4	3.9×
Missouri	$13,026	37	3	4.5×
Georgia	$12,996	86	5	7.0×
Pennsylvania	$12,842	138	8	8.6×
Virginia	$12,818	191	11	7.9×
Idaho	$12,594	19	1	4.0×
Texas	$12,542	200	12	10.3×
North Carolina	$12,395	260	14	5.8×
Ohio	$12,270	145	10	5.6×
Wisconsin	$12,194	64	4	5.3×
South Carolina	$12,140	160	10	8.1×
Maine	$12,128	48	2	5.9×
South Dakota	$12,065	43	2	6.6×
North Dakota	$12,051	16	1	4.9×
Florida	$12,028	406	25	9.1×
Arizona	$11,861	140	7	8.2×
Michigan	$11,851	51	4	5.6×
Illinois	$11,826	90	6	7.4×
Kentucky	$11,691	13	1	5.8×
Iowa	$11,523	49	3	5.7×
Tennessee	$11,404	100	7	7.7×
Alabama	$11,387	62	3	5.7×
Indiana	$11,385	61	4	7.0×
Kansas	$11,105	57	4	6.4×
Nebraska	$10,668	20	1	5.8×
Louisiana	$10,462	23	2	7.4×
Oklahoma	$10,462	64	3	7.2×
West Virginia	$10,154	30	2	7.6×
Mississippi	$10,042	58	4	7.5×
Arkansas	$9,813	54	3	4.9×
Vermont	$6,330	26	1	10.0×
United States	$13,216	4,007	241	6.7×

* 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 244.

10th percentile	$10,559
25th percentile	$11,517
Median hospital	$12,569
75th percentile	$14,261
90th percentile	$16,836

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

242Permanent Cardiac Pacemaker Implant with MCC · $26,961
243Permanent Cardiac Pacemaker Implant with CC · $17,315

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 244 in 2024?

An average of $13,216 per discharge across 4,007 fee-for-service discharges at 241 hospitals, $53.0M in total.

Which state paid the most for MS‑DRG 244?

California, at $17,907 per case; Vermont paid the least, $6,330.

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.