MS‑DRG 283: Acute Myocardial Infarction, Expired with MCC
What Medicare paid hospitals for MS‑DRG 283 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $17,723 per discharge for MS‑DRG 283, across 2,154 fee-for-service discharges at 145 hospitals: 0.04% of all Medicare inpatient discharges and $38.2M in total, the 217th largest MS‑DRG by Medicare spending.
By state, the average ran from $7,424 in Vermont to $27,572 in New Hampshire. Across hospitals, half were paid between $13,448 and $18,090 per case, and the median hospital $15,362; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $103,299 on average for these stays, 5.8 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 | 1.9808 | 1.9619 | −1.0% |
| Geometric mean stay (days) | 3.2 | 3.2 | 0.0 |
| Average stay (days) | 5.3 | 5.1 | −0.2 |
- Not capped: the −1.0% 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)
$14,494.42
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 ($) |
|---|---|---|---|
| 283 | with MCC | 14,494.42 | — |
| 284 | with CC | 5,559.43 | −8,934.99 |
| 285 | without CC/MCC | 3,982.11 | −10,512.31 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 283 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $93,210 | 23 | 2 | 1.0× |
| New Hampshire | $27,572 | 21 | 1 | 4.4× |
| California | $26,922 | 88 | 7 | 7.1× |
| New York | $25,949 | 153 | 8 | 7.8× |
| Alaska | $20,873 | 12 | 1 | 8.5× |
| Wisconsin | $19,948 | 59 | 4 | 4.5× |
| Missouri | $19,446 | 14 | 1 | 5.6× |
| Massachusetts | $18,777 | 161 | 10 | 3.6× |
| Minnesota | $18,756 | 27 | 2 | 2.5× |
| Connecticut | $18,430 | 23 | 2 | 5.4× |
| District of Columbia | $18,090 | 21 | 1 | 7.0× |
| Oregon | $17,994 | 31 | 2 | 2.9× |
| Kentucky | $17,657 | 12 | 1 | 4.7× |
| Georgia | $17,441 | 22 | 2 | 9.6× |
| Rhode Island | $17,339 | 11 | 1 | 4.0× |
| Nevada | $17,308 | 11 | 1 | 5.1× |
| Hawaii | $17,199 | 18 | 1 | 5.0× |
| Washington | $16,773 | 115 | 8 | 5.5× |
| New Jersey | $16,648 | 75 | 6 | 5.3× |
| Kansas | $16,252 | 13 | 1 | 7.3× |
| Maine | $16,105 | 34 | 2 | 5.5× |
| Florida | $15,883 | 154 | 11 | 6.2× |
| North Dakota | $15,747 | 15 | 1 | 3.8× |
| Ohio | $15,624 | 43 | 3 | 6.6× |
| West Virginia | $15,519 | 16 | 1 | 5.8× |
| Pennsylvania | $15,042 | 67 | 5 | 9.8× |
| Illinois | $15,002 | 80 | 6 | 5.9× |
| Michigan | $14,973 | 49 | 3 | 4.8× |
| Tennessee | $14,835 | 105 | 7 | 6.5× |
| South Carolina | $14,813 | 56 | 5 | 5.7× |
| Arizona | $14,508 | 27 | 2 | 6.4× |
| North Carolina | $14,505 | 99 | 5 | 4.5× |
| Delaware | $14,223 | 11 | 1 | 3.9× |
| Alabama | $14,148 | 51 | 3 | 7.3× |
| Virginia | $13,552 | 180 | 11 | 5.9× |
| Texas | $13,304 | 120 | 7 | 9.8× |
| Louisiana | $13,256 | 22 | 2 | 9.8× |
| Iowa | $12,583 | 31 | 2 | 4.6× |
| Oklahoma | $12,530 | 37 | 3 | 8.3× |
| Nebraska | $12,157 | 16 | 1 | 5.1× |
| Indiana | $11,781 | 13 | 1 | 2.6× |
| Vermont | $7,424 | 18 | 1 | 7.7× |
| United States | $17,723 | 2,154 | 145 | 5.8× |
* 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 283.
| 10th percentile | $12,565 |
|---|---|
| 25th percentile | $13,448 |
| Median hospital | $15,362 |
| 75th percentile | $18,090 |
| 90th percentile | $23,724 |
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Questions
What did Medicare pay for MS‑DRG 283 in 2024?
An average of $17,723 per discharge across 2,154 fee-for-service discharges at 145 hospitals, $38.2M in total.
Which state paid the most for MS‑DRG 283?
New Hampshire, at $27,572 per case; Vermont paid the least, $7,424.
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.