MS‑DRG 271: Other Major Cardiovascular Procedures with CC
What Medicare paid hospitals for MS‑DRG 271 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $28,049 per discharge for MS‑DRG 271, across 7,339 fee-for-service discharges at 392 hospitals: 0.15% of all Medicare inpatient discharges and $205.9M in total, the 82nd largest MS‑DRG by Medicare spending.
By state, the average ran from $18,586 in Alabama to $39,941 in Connecticut. Across hospitals, half were paid between $22,822 and $30,372 per case, and the median hospital $25,556; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $173,238 on average for these stays, 6.2 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.
What changed in FY2027
The rates for discharges from October 1, 2026 (MS‑DRG version 44) against FY2026.
| FY2026 | FY2027 | Change | |
|---|---|---|---|
| Relative weight | 3.5563 | 3.5975 | +1.2% |
| Geometric mean stay (days) | 3.7 | 3.6 | −0.1 |
| Average stay (days) | 5.0 | 4.9 | −0.1 |
- Not capped: the +1.2% 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)
$26,578.15
The FY2027 weight times the operating standardized amount and the capital rate ($6,848.00 + $539.95) at a wage index of 1.0. No IME, DSH, outlier or other hospital-specific adjustment, so it is not what any hospital is paid; price it at a hospital for that.
| MS‑DRG | Severity | Payment ($) | Step ($) |
|---|---|---|---|
| 270 | with MCC | 38,918.24 | +12,340.09 |
| 271 | with CC | 26,578.15 | — |
| 272 | without CC/MCC | 18,367.92 | −8,210.23 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 271 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $48,740 | 164 | 10 | 1.2× |
| Connecticut | $39,941 | 34 | 2 | 3.4× |
| California | $38,718 | 476 | 27 | 6.5× |
| Wyoming | $36,501 | 13 | 1 | 6.0× |
| New York | $36,067 | 578 | 20 | 4.8× |
| Massachusetts | $34,196 | 207 | 9 | 3.4× |
| Hawaii | $33,076 | 11 | 1 | 3.8× |
| Alaska | $32,756 | 16 | 1 | 6.2× |
| Delaware | $31,707 | 27 | 1 | 4.4× |
| District of Columbia | $31,154 | 35 | 1 | 5.2× |
| New Jersey | $30,491 | 275 | 15 | 6.2× |
| Oregon | $30,356 | 71 | 5 | 3.9× |
| New Hampshire | $29,789 | 33 | 2 | 3.8× |
| Nevada | $29,130 | 24 | 2 | 18.6× |
| Minnesota | $28,595 | 161 | 7 | 4.4× |
| Pennsylvania | $28,513 | 280 | 16 | 7.3× |
| Washington | $27,902 | 111 | 7 | 5.8× |
| Maine | $27,900 | 22 | 1 | 4.6× |
| Illinois | $27,703 | 246 | 15 | 5.8× |
| Wisconsin | $27,271 | 103 | 6 | 4.4× |
| Utah | $26,750 | 14 | 1 | 3.1× |
| Colorado | $26,078 | 52 | 3 | 7.9× |
| North Carolina | $25,980 | 282 | 14 | 5.2× |
| Iowa | $25,852 | 65 | 4 | 5.9× |
| Michigan | $25,803 | 178 | 10 | 4.2× |
| South Dakota | $25,736 | 109 | 4 | 6.0× |
| Texas | $25,417 | 595 | 33 | 8.9× |
| Indiana | $25,273 | 181 | 10 | 7.0× |
| Idaho | $25,087 | 23 | 2 | 4.8× |
| South Carolina | $25,046 | 129 | 7 | 6.7× |
| North Dakota | $24,971 | 28 | 2 | 3.2× |
| Virginia | $24,919 | 193 | 10 | 6.3× |
| Florida | $24,629 | 852 | 43 | 9.0× |
| Arizona | $24,546 | 134 | 8 | 6.8× |
| Missouri | $24,387 | 177 | 10 | 5.8× |
| Ohio | $24,191 | 246 | 12 | 6.5× |
| Nebraska | $24,127 | 42 | 2 | 4.2× |
| West Virginia | $24,050 | 40 | 3 | 5.9× |
| Kentucky | $24,007 | 163 | 10 | 6.9× |
| Georgia | $23,830 | 126 | 7 | 7.6× |
| Oklahoma | $23,511 | 189 | 9 | 6.2× |
| Kansas | $23,497 | 58 | 4 | 7.4× |
| Mississippi | $22,405 | 61 | 4 | 5.0× |
| Arkansas | $22,183 | 149 | 10 | 4.5× |
| Tennessee | $22,113 | 139 | 7 | 6.6× |
| Montana | $21,865 | 24 | 2 | 5.5× |
| Louisiana | $21,286 | 84 | 5 | 7.0× |
| New Mexico | $19,595 | 37 | 2 | 7.3× |
| Alabama | $18,586 | 82 | 5 | 8.4× |
| United States | $28,049 | 7,339 | 392 | 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 271.
| 10th percentile | $21,026 |
|---|---|
| 25th percentile | $22,822 |
| Median hospital | $25,556 |
| 75th percentile | $30,372 |
| 90th percentile | $36,756 |
Related analysis
- DRG validation and the single-MCC claim: when one code moves the payment · Payment integrity
The same condition at other severities
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Questions
What did Medicare pay for MS‑DRG 271 in 2024?
An average of $28,049 per discharge across 7,339 fee-for-service discharges at 392 hospitals, $205.9M in total.
Which state paid the most for MS‑DRG 271?
Connecticut, at $39,941 per case; Alabama paid the least, $18,586.
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.