MS‑DRG 264: Other Circulatory System O.R. Procedures

What Medicare paid hospitals for MS‑DRG 264 in 2024: nationally, state by state and across hospitals.

Paid per case$29,1691.9× the all-DRG average

Discharges2,9150.06% of all Medicare discharges

Total paid$85.0M146th largest MS‑DRG by spending

Hospitals171in 38 states and DC

Charges ÷ paid6.2×$179,979 average charge

Relative weight3.3406FY2026; not an MS‑DRG in FY2027

In 2024 Medicare paid hospitals an average of $29,169 per discharge for MS‑DRG 264, across 2,915 fee-for-service discharges at 171 hospitals: 0.06% of all Medicare inpatient discharges and $85.0M in total, the 146th largest MS‑DRG by Medicare spending.

By state, the average ran from $18,738 in Mississippi to $39,413 in New York. Across hospitals, half were paid between $21,907 and $31,285 per case, and the median hospital $25,081; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $179,979 on average for these stays, 6.2 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 264 on the interactive map Price an MS‑DRG 264 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.

Deleted in MS‑DRG version 44. Its FY2026 weight was 3.3406; from October 1, 2026 its stays group to other MS‑DRGs. FY2027 adds MS‑DRGs 361 and 362 under the same name.

FY2027 inpatient rates: what else changed on October 1

Paid per case, by state

MS‑DRG 264 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
New York	$39,413	416	16	6.8×
California	$37,255	188	12	7.8×
Connecticut	$35,039	47	3	5.0×
Massachusetts	$34,878	117	6	4.4×
Pennsylvania	$30,988	141	10	6.6×
Washington	$30,876	33	3	4.2×
Minnesota	$30,474	73	4	3.5×
Michigan	$29,971	45	4	3.9×
District of Columbia	$29,481	31	2	7.1×
Texas	$29,205	265	16	6.7×
Illinois	$28,670	123	9	4.6×
New Jersey	$28,269	239	11	7.2×
Missouri	$26,544	22	2	4.1×
Maryland*	$26,403	23	2	1.1×
Hawaii	$26,237	21	1	3.4×
Delaware	$25,932	18	1	2.1×
Wisconsin	$25,914	41	3	3.2×
Arizona	$25,832	14	1	4.7×
North Carolina	$25,626	104	6	4.2×
Ohio	$25,036	51	3	5.5×
Nevada	$24,631	15	1	14.5×
Tennessee	$24,629	46	3	6.1×
New Hampshire	$24,606	14	1	5.5×
Georgia	$24,294	45	3	9.6×
Kansas	$24,280	32	2	7.7×
Nebraska	$24,276	18	1	4.6×
South Carolina	$23,028	42	3	5.3×
South Dakota	$22,978	26	2	4.6×
Florida	$22,869	327	18	8.0×
Virginia	$22,583	46	4	5.9×
Alabama	$22,517	31	2	4.6×
West Virginia	$22,084	26	2	3.5×
Indiana	$22,040	66	4	4.5×
Louisiana	$21,759	30	2	4.3×
Oklahoma	$21,157	24	2	4.8×
Kentucky	$20,690	64	3	4.5×
New Mexico	$20,393	11	1	2.8×
Arkansas	$19,340	14	1	6.7×
Mississippi	$18,738	26	1	3.7×
United States	$29,169	2,915	171	6.2×

* 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 264.

10th percentile	$19,764
25th percentile	$21,907
Median hospital	$25,081
75th percentile	$31,285
90th percentile	$40,214

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 264 in 2024?

An average of $29,169 per discharge across 2,915 fee-for-service discharges at 171 hospitals, $85.0M in total.

Which state paid the most for MS‑DRG 264?

New York, at $39,413 per case; Mississippi paid the least, $18,738.

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.