MS‑DRG 270: Other Major Cardiovascular Procedures with MCC

What Medicare paid hospitals for MS‑DRG 270 in 2024: nationally, state by state and across hospitals.

Paid per case$45,1473.0× the all-DRG average

Discharges11,4000.23% of all Medicare discharges

Total paid$514.7M38th largest MS‑DRG by spending

Hospitals541in 50 states and DC

Charges ÷ paid6.1×$275,581 average charge

Relative weight5.2678FY2027, 6.1-day geometric mean stay; FY2026 5.2763 (−0.2%)

In 2024 Medicare paid hospitals an average of $45,147 per discharge for MS‑DRG 270, across 11,400 fee-for-service discharges at 541 hospitals: 0.23% of all Medicare inpatient discharges and $514.7M in total, the 38th largest MS‑DRG by Medicare spending.

By state, the average ran from $34,402 in Tennessee to $62,515 in California. Across hospitals, half were paid between $35,649 and $48,448 per case, and the median hospital $40,269; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $275,581 on average for these stays, 6.1 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 270 on the interactive map Price an MS‑DRG 270 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 270, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	5.2763	5.2678	−0.2%
Geometric mean stay (days)	6.3	6.1	−0.2
Average stay (days)	9.3	8.9	−0.4

Not capped: the −0.2% 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)

$38,918.24

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 270
MS‑DRG	Severity	Payment ($)	Step ($)
270	with MCC	38,918.24	—
271	with CC	26,578.15	−12,340.09
272	without CC/MCC	18,367.92	−20,550.32

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 270 at a hospital

Paid per case, by state

MS‑DRG 270 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
California	$62,515	945	53	7.2×
New York	$60,456	786	26	5.7×
District of Columbia	$57,855	138	3	5.1×
Maryland*	$56,882	271	13	1.2×
Connecticut	$56,341	73	2	4.3×
Oregon	$55,808	65	5	3.9×
Massachusetts	$55,673	373	13	3.6×
Rhode Island	$49,691	11	1	3.2×
Wyoming	$49,648	36	2	4.5×
Maine	$49,383	32	1	4.8×
Delaware	$48,915	45	1	4.0×
Vermont	$48,521	19	1	4.5×
Minnesota	$47,392	248	11	4.2×
New Hampshire	$46,838	89	3	4.5×
New Jersey	$45,931	393	20	6.4×
Alaska	$45,596	13	1	4.6×
New Mexico	$45,330	70	4	4.0×
Hawaii	$44,596	34	2	5.6×
Wisconsin	$44,196	185	9	4.6×
North Dakota	$43,996	30	2	3.8×
Washington	$43,408	250	14	5.3×
Nevada	$43,247	90	6	11.3×
Pennsylvania	$42,611	420	22	7.2×
Michigan	$42,588	253	15	4.3×
Georgia	$42,545	242	12	6.7×
Arizona	$42,495	188	11	5.6×
Ohio	$42,371	362	18	5.5×
Colorado	$42,153	75	5	8.3×
Illinois	$41,900	533	24	5.5×
Missouri	$41,225	246	14	5.4×
Virginia	$41,175	266	13	6.2×
Nebraska	$39,955	97	5	4.0×
North Carolina	$39,873	286	13	4.6×
Iowa	$39,861	112	5	5.5×
West Virginia	$39,759	119	5	5.7×
Texas	$39,350	1,067	46	9.0×
Utah	$39,164	34	2	4.5×
Indiana	$38,929	228	12	5.7×
Florida	$38,912	1,243	56	8.1×
Idaho	$38,555	26	2	3.1×
South Dakota	$38,405	106	4	5.3×
Montana	$38,401	27	2	3.2×
South Carolina	$37,143	186	9	7.4×
Mississippi	$36,922	27	2	4.2×
Oklahoma	$36,723	168	8	6.4×
Arkansas	$36,044	94	5	4.8×
Kentucky	$35,877	170	8	4.7×
Alabama	$35,845	123	6	5.6×
Kansas	$35,804	103	4	8.0×
Louisiana	$35,159	117	7	5.3×
Tennessee	$34,402	286	13	6.5×
United States	$45,147	11,400	541	6.1×

* 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 270.

10th percentile	$32,666
25th percentile	$35,649
Median hospital	$40,269
75th percentile	$48,448
90th percentile	$58,542

Related analysis

DRG validation and the single-MCC claim: when one code moves the payment · Payment integrity

The same condition at other severities

271Other Major Cardiovascular Procedures with CC · $28,049

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 270 in 2024?

An average of $45,147 per discharge across 11,400 fee-for-service discharges at 541 hospitals, $514.7M in total.

Which state paid the most for MS‑DRG 270?

California, at $62,515 per case; Tennessee paid the least, $34,402.

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.