MS‑DRG 286: Circulatory Disorders except AMI, with Cardiac Catheterization with MCC
What Medicare paid hospitals for MS‑DRG 286 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $17,633 per discharge for MS‑DRG 286, across 34,223 fee-for-service discharges at 1,085 hospitals: 0.69% of all Medicare inpatient discharges and $603.4M in total, the 27th largest MS‑DRG by Medicare spending.
By state, the average ran from $10,561 in Vermont to $27,308 in California. Across hospitals, half were paid between $13,803 and $18,219 per case, and the median hospital $15,271; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $113,650 on average for these stays, 6.5 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 | 2.2128 | 2.2173 | +0.2% |
| Geometric mean stay (days) | 5.4 | 5.4 | 0.0 |
| Average stay (days) | 7.2 | 7.2 | 0.0 |
- 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)
$16,381.30
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 ($) |
|---|---|---|---|
| 286 | with MCC | 16,381.30 | — |
| 287 | without MCC | 7,967.17 | −8,414.13 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 286 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| California | $27,308 | 1,951 | 84 | 7.9× |
| Maryland* | $26,459 | 881 | 23 | 1.2× |
| Massachusetts | $22,909 | 1,079 | 19 | 4.1× |
| New York | $22,495 | 2,114 | 51 | 7.2× |
| Connecticut | $22,132 | 298 | 8 | 4.9× |
| District of Columbia | $20,938 | 152 | 3 | 6.3× |
| Oregon | $19,670 | 226 | 10 | 4.0× |
| Wyoming | $19,458 | 52 | 2 | 3.9× |
| Rhode Island | $18,967 | 79 | 3 | 4.1× |
| Alaska | $18,962 | 39 | 1 | 8.6× |
| New Jersey | $18,433 | 1,282 | 36 | 9.0× |
| Washington | $17,690 | 570 | 21 | 6.2× |
| New Hampshire | $17,662 | 290 | 8 | 4.7× |
| Idaho | $17,597 | 95 | 5 | 5.7× |
| Minnesota | $17,535 | 661 | 18 | 4.6× |
| Delaware | $17,373 | 238 | 4 | 4.8× |
| Pennsylvania | $17,365 | 2,253 | 62 | 7.9× |
| Nevada | $17,100 | 197 | 10 | 12.9× |
| Utah | $17,016 | 176 | 6 | 5.2× |
| Illinois | $16,900 | 1,825 | 52 | 5.9× |
| Hawaii | $16,787 | 60 | 4 | 4.3× |
| Colorado | $16,723 | 247 | 14 | 9.9× |
| Arizona | $16,557 | 619 | 27 | 7.0× |
| Georgia | $16,369 | 1,145 | 37 | 6.1× |
| North Carolina | $16,283 | 1,167 | 32 | 4.7× |
| Maine | $16,254 | 168 | 4 | 4.8× |
| Michigan | $16,147 | 1,121 | 33 | 4.0× |
| Texas | $16,138 | 2,197 | 75 | 8.5× |
| South Dakota | $16,066 | 147 | 3 | 4.8× |
| Virginia | $16,043 | 1,189 | 31 | 5.8× |
| Montana | $15,919 | 85 | 4 | 3.4× |
| New Mexico | $15,813 | 142 | 5 | 5.6× |
| Missouri | $15,686 | 792 | 28 | 6.1× |
| Nebraska | $15,548 | 207 | 8 | 5.2× |
| Wisconsin | $15,534 | 465 | 15 | 5.8× |
| Florida | $15,527 | 2,706 | 89 | 8.4× |
| Ohio | $15,206 | 1,599 | 49 | 5.8× |
| South Carolina | $14,771 | 608 | 17 | 6.0× |
| Indiana | $14,687 | 792 | 28 | 6.0× |
| Oklahoma | $14,637 | 428 | 13 | 6.7× |
| North Dakota | $14,628 | 106 | 5 | 3.9× |
| Iowa | $14,536 | 320 | 13 | 5.1× |
| Mississippi | $14,477 | 295 | 10 | 5.8× |
| Kentucky | $14,328 | 501 | 15 | 5.7× |
| Tennessee | $13,882 | 815 | 24 | 7.0× |
| West Virginia | $13,830 | 193 | 8 | 4.9× |
| Kansas | $13,772 | 351 | 13 | 7.5× |
| Arkansas | $13,705 | 403 | 17 | 4.6× |
| Louisiana | $13,647 | 322 | 16 | 6.5× |
| Alabama | $13,394 | 553 | 21 | 6.7× |
| Vermont | $10,561 | 22 | 1 | 6.4× |
| United States | $17,633 | 34,223 | 1,085 | 6.5× |
* 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 286.
| 10th percentile | $12,817 |
|---|---|
| 25th percentile | $13,803 |
| Median hospital | $15,271 |
| 75th percentile | $18,219 |
| 90th percentile | $22,431 |
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 286 in 2024?
An average of $17,633 per discharge across 34,223 fee-for-service discharges at 1,085 hospitals, $603.4M in total.
Which state paid the most for MS‑DRG 286?
California, at $27,308 per case; Vermont paid the least, $10,561.
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.