MS‑DRG 254: Other Vascular Procedures without CC/MCC

What Medicare paid hospitals for MS‑DRG 254 in 2024: nationally, state by state and across hospitals.

Paid per case$12,7520.8× the all-DRG average

Discharges1,5430.03% of all Medicare discharges

Total paid$19.7M261st largest MS‑DRG by spending

Hospitals101in 38 states and DC

Charges ÷ paid6.7×$84,837 average charge

Relative weight1.7960FY2027, 1.7-day geometric mean stay; FY2026 1.7817 (+0.8%)

In 2024 Medicare paid hospitals an average of $12,752 per discharge for MS‑DRG 254, across 1,543 fee-for-service discharges at 101 hospitals: 0.03% of all Medicare inpatient discharges and $19.7M in total, the 261st largest MS‑DRG by Medicare spending.

By state, the average ran from $9,623 in Arkansas to $21,031 in California. Across hospitals, half were paid between $10,988 and $13,761 per case, and the median hospital $12,150; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $84,837 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 254 on the interactive map Price an MS‑DRG 254 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 254, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.7817	1.7960	+0.8%
Geometric mean stay (days)	1.8	1.7	−0.1
Average stay (days)	2.2	2.1	−0.1

Not capped: the +0.8% 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)

$13,268.76

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 254
MS‑DRG	Severity	Payment ($)	Step ($)
252	with MCC	25,724.10	+12,455.34
253	with CC	19,399.28	+6,130.52
254	without CC/MCC	13,268.76	—

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 254 at a hospital

Paid per case, by state

MS‑DRG 254 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$21,217	42	3	1.3×
California	$21,031	36	3	5.4×
Connecticut	$16,979	12	1	3.7×
Oregon	$15,825	37	2	3.8×
District of Columbia	$15,490	12	1	7.0×
Minnesota	$15,279	25	2	4.8×
South Dakota	$14,897	11	1	4.8×
New York	$14,762	97	6	5.9×
Massachusetts	$14,572	70	4	3.0×
Pennsylvania	$14,088	40	3	8.3×
New Hampshire	$13,696	28	2	5.5×
Virginia	$13,674	61	4	5.8×
Colorado	$13,506	12	1	5.7×
Washington	$12,753	41	3	6.5×
Alaska	$12,692	14	1	7.4×
New Jersey	$12,333	26	2	6.9×
North Carolina	$12,248	135	9	5.1×
Montana	$12,053	18	1	3.7×
Michigan	$11,940	15	1	5.4×
Illinois	$11,839	30	2	9.6×
Florida	$11,560	166	10	9.7×
Tennessee	$11,558	57	3	7.7×
Texas	$11,472	118	8	12.5×
Iowa	$11,449	26	2	7.0×
Nevada	$11,396	14	1	4.4×
Georgia	$11,376	11	1	7.4×
Ohio	$11,373	51	3	10.6×
Nebraska	$11,286	23	1	6.1×
Arizona	$11,273	27	2	5.9×
Mississippi	$11,079	17	1	4.0×
Alabama	$10,984	26	2	9.1×
Missouri	$10,961	70	5	8.0×
Kentucky	$10,600	36	2	9.3×
Indiana	$10,597	12	1	10.6×
Louisiana	$10,449	51	3	4.9×
West Virginia	$9,990	13	1	6.0×
Kansas	$9,943	27	1	2.1×
Oklahoma	$9,702	15	1	5.4×
Arkansas	$9,623	21	1	5.0×
United States	$12,752	1,543	101	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 254.

10th percentile	$9,893
25th percentile	$10,988
Median hospital	$12,150
75th percentile	$13,761
90th percentile	$17,558

The same condition at other severities

252Other Vascular Procedures with MCC · $29,697
253Other Vascular Procedures with CC · $20,751

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 254 in 2024?

An average of $12,752 per discharge across 1,543 fee-for-service discharges at 101 hospitals, $19.7M in total.

Which state paid the most for MS‑DRG 254?

California, at $21,031 per case; Arkansas paid the least, $9,623.

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.