MS‑DRG 274: Percutaneous and Other Intracardiac Procedures without MCC

What Medicare paid hospitals for MS‑DRG 274 in 2024: nationally, state by state and across hospitals.

Paid per case$24,7491.6× the all-DRG average

Discharges58,1741.17% of all Medicare discharges

Total paid$1.4B6th largest MS‑DRG by spending

Hospitals780in 50 states and DC

Charges ÷ paid6.3×$156,826 average charge

Relative weight3.3283FY2027, 1.2-day geometric mean stay; FY2026 3.2917 (+1.1%)

In 2024 Medicare paid hospitals an average of $24,749 per discharge for MS‑DRG 274, across 58,174 fee-for-service discharges at 780 hospitals: 1.17% of all Medicare inpatient discharges and $1.4B in total, the 6th largest MS‑DRG by Medicare spending.

By state, the average ran from $15,771 in Vermont to $32,963 in California. Across hospitals, half were paid between $21,533 and $27,477 per case, and the median hospital $23,497; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $156,826 on average for these stays, 6.3 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 274 on the interactive map Price an MS‑DRG 274 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 274, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	3.2917	3.3283	+1.1%
Geometric mean stay (days)	1.2	1.2	0.0
Average stay (days)	1.4	1.4	0.0

Not capped: the +1.1% 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)

$24,589.31

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 274
MS‑DRG	Severity	Payment ($)	Step ($)
273	with MCC	31,741.59	+7,152.28
274	without MCC	24,589.31	—

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 274 at a hospital

Paid per case, by state

MS‑DRG 274 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$39,117	452	9	1.2×
California	$32,963	4,514	66	6.1×
Massachusetts	$32,900	1,136	11	2.8×
New York	$32,334	3,070	32	5.2×
Rhode Island	$30,867	75	1	2.4×
District of Columbia	$30,854	147	2	2.5×
Connecticut	$30,205	370	8	3.2×
Wyoming	$29,782	51	2	4.6×
Hawaii	$29,234	69	2	3.2×
New Jersey	$28,613	1,364	15	6.5×
Oregon	$28,525	323	8	3.5×
Nevada	$27,548	342	9	8.2×
Alaska	$26,600	68	2	10.2×
Minnesota	$26,434	838	13	3.6×
Washington	$26,088	1,139	13	5.1×
Delaware	$25,695	286	3	4.7×
Pennsylvania	$25,681	1,766	39	6.8×
New Hampshire	$25,039	274	3	4.9×
Michigan	$24,744	1,313	27	3.6×
Colorado	$24,403	1,011	15	7.4×
Arizona	$24,021	1,909	19	6.8×
Utah	$23,945	363	7	5.0×
Illinois	$23,907	1,735	35	5.6×
South Dakota	$23,384	305	3	4.9×
North Carolina	$23,274	1,457	17	5.5×
South Carolina	$23,235	1,848	16	8.0×
North Dakota	$23,139	310	5	3.5×
Idaho	$23,096	537	6	5.2×
Virginia	$23,033	1,900	17	7.9×
Georgia	$22,874	1,651	18	6.1×
Ohio	$22,795	1,972	32	4.8×
Wisconsin	$22,717	955	19	4.7×
Montana	$22,689	308	6	3.1×
Florida	$22,631	6,073	67	8.2×
Maine	$22,587	119	2	4.9×
Texas	$22,520	5,531	66	10.6×
Indiana	$22,331	1,764	24	6.2×
Iowa	$22,053	476	6	4.3×
Tennessee	$21,810	1,672	15	7.2×
Missouri	$21,781	1,302	22	5.9×
Nebraska	$21,679	964	6	4.2×
Kansas	$21,492	1,155	10	5.9×
Kentucky	$21,014	617	12	7.9×
West Virginia	$20,899	375	5	5.9×
Oklahoma	$20,670	727	8	5.9×
New Mexico	$20,614	255	4	6.9×
Louisiana	$20,577	770	15	6.3×
Mississippi	$20,272	774	11	4.4×
Alabama	$19,982	865	14	7.0×
Arkansas	$19,896	821	12	4.5×
Vermont	$15,771	56	1	7.2×
United States	$24,749	58,174	780	6.3×

* 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 274.

10th percentile	$20,090
25th percentile	$21,533
Median hospital	$23,497
75th percentile	$27,477
90th percentile	$32,164

The same condition at other severities

273Percutaneous and Other Intracardiac Procedures with MCC · $33,483

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 274 in 2024?

An average of $24,749 per discharge across 58,174 fee-for-service discharges at 780 hospitals, $1.4B in total.

Which state paid the most for MS‑DRG 274?

California, at $32,963 per case; Vermont paid the least, $15,771.

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.