MS‑DRG 299: Peripheral Vascular Disorders with MCC

What Medicare paid hospitals for MS‑DRG 299 in 2024: nationally, state by state and across hospitals.

Paid per case$13,2330.9× the all-DRG average

Discharges8,5500.17% of all Medicare discharges

Total paid$113.1M122nd largest MS‑DRG by spending

Hospitals462in 45 states and DC

Charges ÷ paid6.2×$82,475 average charge

Relative weight1.5842FY2027, 3.9-day geometric mean stay; FY2026 1.6327 (−3.0%)

In 2024 Medicare paid hospitals an average of $13,233 per discharge for MS‑DRG 299, across 8,550 fee-for-service discharges at 462 hospitals: 0.17% of all Medicare inpatient discharges and $113.1M in total, the 122nd largest MS‑DRG by Medicare spending.

By state, the average ran from $10,080 in Louisiana to $20,264 in New Hampshire. Across hospitals, half were paid between $10,311 and $14,185 per case, and the median hospital $11,876; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $82,475 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 299 on the interactive map Price an MS‑DRG 299 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 299, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.6327	1.5842	−3.0%
Geometric mean stay (days)	3.9	3.9	0.0
Average stay (days)	5.5	5.3	−0.2

Not capped: the −3.0% 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)

$11,703.99

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 299
MS‑DRG	Severity	Payment ($)	Step ($)
299	with MCC	11,703.99	—
300	with CC	7,730.75	−3,973.24
301	without CC/MCC	5,269.82	−6,434.17

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 299 at a hospital

Paid per case, by state

MS‑DRG 299 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$22,951	203	14	1.2×
New Hampshire	$20,264	14	1	4.0×
District of Columbia	$18,044	37	2	6.7×
Minnesota	$17,896	115	8	5.2×
New York	$16,823	940	36	7.0×
California	$16,730	851	49	7.5×
Connecticut	$15,591	95	4	4.8×
Massachusetts	$15,540	373	17	3.5×
South Dakota	$13,858	27	2	6.0×
New Jersey	$13,365	425	22	8.2×
Nevada	$13,068	63	4	10.2×
Alaska	$13,041	11	1	6.8×
Rhode Island	$12,892	14	1	2.7×
Delaware	$12,778	44	2	4.5×
Pennsylvania	$12,579	343	19	7.2×
Nebraska	$12,472	30	2	6.1×
Alabama	$12,336	45	2	6.0×
Oregon	$12,304	11	1	3.8×
North Carolina	$11,870	212	14	4.1×
Michigan	$11,840	315	17	3.5×
Hawaii	$11,817	12	1	7.7×
Washington	$11,801	88	7	4.6×
Illinois	$11,689	558	30	4.9×
Arizona	$11,656	153	10	5.9×
Arkansas	$11,527	40	3	4.3×
Georgia	$11,516	184	13	6.2×
Kentucky	$11,434	109	6	5.0×
West Virginia	$11,370	34	3	4.5×
Iowa	$11,367	25	2	6.4×
Ohio	$11,338	316	17	5.7×
Missouri	$11,279	171	10	4.8×
Oklahoma	$11,177	74	4	7.2×
Wisconsin	$11,136	62	4	5.9×
Texas	$11,109	611	33	8.9×
Florida	$11,027	956	44	7.8×
North Dakota	$10,966	14	1	3.5×
Colorado	$10,908	26	2	11.5×
Indiana	$10,769	143	7	5.0×
Mississippi	$10,681	51	3	5.1×
Virginia	$10,675	250	15	5.9×
Kansas	$10,654	48	3	5.5×
South Carolina	$10,484	141	9	6.1×
Tennessee	$10,280	231	12	5.6×
Idaho	$10,237	12	1	4.3×
New Mexico	$10,122	36	1	3.6×
Louisiana	$10,080	37	3	5.1×
United States	$13,233	8,550	462	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 299.

10th percentile	$9,485
25th percentile	$10,311
Median hospital	$11,876
75th percentile	$14,185
90th percentile	$16,791

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

300Peripheral Vascular Disorders with CC · $8,374

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 299 in 2024?

An average of $13,233 per discharge across 8,550 fee-for-service discharges at 462 hospitals, $113.1M in total.

Which state paid the most for MS‑DRG 299?

New Hampshire, at $20,264 per case; Louisiana paid the least, $10,080.

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.