MS‑DRG 280: Acute Myocardial Infarction, Discharged Alive with MCC

What Medicare paid hospitals for MS‑DRG 280 in 2024: nationally, state by state and across hospitals.

Paid per case$12,4000.8× the all-DRG average

Discharges83,8411.69% of all Medicare discharges

Total paid$1.0B11th largest MS‑DRG by spending

Hospitals1,825in 50 states and DC

Charges ÷ paid6.2×$76,887 average charge

Relative weight1.6112FY2027, 4.0-day geometric mean stay; FY2026 1.6041 (+0.4%)

In 2024 Medicare paid hospitals an average of $12,400 per discharge for MS‑DRG 280, across 83,841 fee-for-service discharges at 1,825 hospitals: 1.69% of all Medicare inpatient discharges and $1.0B in total, the 11th largest MS‑DRG by Medicare spending.

By state, the average ran from $7,928 in Vermont to $17,114 in New York. Across hospitals, half were paid between $10,042 and $13,345 per case, and the median hospital $11,337; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $76,887 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 280 on the interactive map Price an MS‑DRG 280 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 280, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.6041	1.6112	+0.4%
Geometric mean stay (days)	4.1	4.0	−0.1
Average stay (days)	5.3	5.3	0.0

Not capped: the +0.4% 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)

$11,903.47

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 280
MS‑DRG	Severity	Payment ($)	Step ($)
280	with MCC	11,903.47	—
281	with CC	6,785.09	−5,118.38
282	without CC/MCC	5,450.83	−6,452.64

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 280 at a hospital

Paid per case, by state

MS‑DRG 280 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$19,864	1,713	38	1.2×
New York	$17,114	4,786	89	6.1×
Alaska	$17,062	170	6	5.9×
California	$16,561	8,077	185	7.6×
Wyoming	$15,724	85	3	3.7×
District of Columbia	$15,104	322	5	5.7×
Connecticut	$14,671	764	18	4.6×
Hawaii	$14,361	342	8	4.6×
Rhode Island	$14,075	304	7	3.9×
Oregon	$13,765	1,062	24	3.4×
Massachusetts	$13,751	2,859	42	3.0×
New Jersey	$12,922	2,761	53	8.6×
Nevada	$12,547	868	16	10.8×
New Hampshire	$12,470	584	12	4.8×
Maine	$12,303	427	6	5.0×
Washington	$12,048	2,082	38	5.6×
Delaware	$11,978	228	5	4.3×
Arizona	$11,892	1,491	39	7.0×
Minnesota	$11,797	934	19	4.5×
Illinois	$11,746	3,591	85	5.5×
New Mexico	$11,723	371	10	5.8×
Idaho	$11,608	362	9	5.8×
Texas	$11,569	6,587	141	8.1×
Pennsylvania	$11,567	2,244	76	6.3×
Georgia	$11,544	2,479	56	6.7×
Michigan	$11,535	3,161	53	4.2×
Colorado	$11,504	525	24	8.1×
Utah	$11,391	272	9	5.1×
Wisconsin	$11,371	1,191	36	4.7×
North Carolina	$11,128	1,812	50	4.4×
North Dakota	$11,112	559	6	3.6×
Montana	$11,097	185	6	3.3×
South Dakota	$11,095	331	6	5.2×
Missouri	$11,066	1,092	41	5.7×
Florida	$10,986	8,319	140	8.5×
Nebraska	$10,940	452	16	4.7×
Indiana	$10,807	1,786	41	5.3×
Kansas	$10,621	801	19	7.0×
Virginia	$10,528	3,225	49	5.5×
Ohio	$10,516	2,599	70	5.6×
South Carolina	$10,446	1,323	27	6.9×
Oklahoma	$10,427	1,186	27	7.1×
Iowa	$10,186	947	21	4.5×
West Virginia	$10,184	919	18	4.8×
Tennessee	$10,120	2,320	41	6.1×
Kentucky	$10,014	1,220	30	5.5×
Louisiana	$9,927	1,174	29	5.4×
Alabama	$9,693	1,185	29	7.8×
Arkansas	$9,684	934	23	4.9×
Mississippi	$9,434	607	19	5.2×
Vermont	$7,928	223	5	5.1×
United States	$12,400	83,841	1,825	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 280.

10th percentile	$9,169
25th percentile	$10,042
Median hospital	$11,337
75th percentile	$13,345
90th percentile	$16,002

Related analysis

Transfers and the per-diem rule: when a short stay pays less than the full DRG · Inpatient DRG
DRG validation and the single-MCC claim: when one code moves the payment · Payment integrity

The same condition at other severities

Nearby MS‑DRG numbers

273Percutaneous and Other Intracardiac Procedures with MCC

Questions

What did Medicare pay for MS‑DRG 280 in 2024?

An average of $12,400 per discharge across 83,841 fee-for-service discharges at 1,825 hospitals, $1.0B in total.

Which state paid the most for MS‑DRG 280?

New York, at $17,114 per case; Vermont paid the least, $7,928.

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.