MS‑DRG 305: Hypertension without MCC

What Medicare paid hospitals for MS‑DRG 305 in 2024: nationally, state by state and across hospitals.

Paid per case$5,1960.3× the all-DRG average

Discharges17,1810.35% of all Medicare discharges

Total paid$89.3M139th largest MS‑DRG by spending

Hospitals790in 48 states and DC

Charges ÷ paid8.0×$41,650 average charge

Relative weight0.7581FY2027, 2.1-day geometric mean stay; FY2026 0.7551 (+0.4%)

In 2024 Medicare paid hospitals an average of $5,196 per discharge for MS‑DRG 305, across 17,181 fee-for-service discharges at 790 hospitals: 0.35% of all Medicare inpatient discharges and $89.3M in total, the 139th largest MS‑DRG by Medicare spending.

By state, the average ran from $3,871 in Kentucky to $7,148 in New York. Across hospitals, half were paid between $4,370 and $5,734 per case, and the median hospital $4,925; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $41,650 on average for these stays, 8.0 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 305 on the interactive map Price an MS‑DRG 305 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 305, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	0.7551	0.7581	+0.4%
Geometric mean stay (days)	2.1	2.1	0.0
Average stay (days)	2.6	2.6	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)

$5,600.80

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 305
MS‑DRG	Severity	Payment ($)	Step ($)
304	with MCC	8,873.67	+3,272.87
305	without MCC	5,600.80	—

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 305 at a hospital

Paid per case, by state

MS‑DRG 305 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$8,796	375	22	1.3×
New York	$7,148	976	46	7.4×
Oregon	$6,847	13	1	3.8×
California	$6,843	999	55	9.4×
Rhode Island	$6,484	18	1	4.2×
Connecticut	$6,185	144	9	5.7×
Wyoming	$6,143	24	2	4.7×
Massachusetts	$5,761	531	21	3.3×
District of Columbia	$5,731	16	1	5.5×
Utah	$5,728	11	1	6.8×
Nevada	$5,688	305	10	16.1×
New Jersey	$5,416	765	34	9.9×
Hawaii	$5,247	15	1	5.7×
South Dakota	$5,210	45	3	6.7×
Georgia	$5,199	558	29	7.0×
Maine	$5,168	30	2	5.7×
Texas	$5,090	1,547	63	10.3×
Minnesota	$5,021	111	7	5.3×
Delaware	$5,006	78	4	5.3×
North Dakota	$4,953	22	1	5.2×
Florida	$4,941	2,959	99	10.3×
Washington	$4,935	142	8	8.1×
North Carolina	$4,931	498	22	5.7×
Arizona	$4,914	367	17	8.9×
Pennsylvania	$4,802	766	38	8.3×
Michigan	$4,795	497	23	5.2×
Illinois	$4,745	712	37	6.8×
South Carolina	$4,724	370	16	7.2×
New Hampshire	$4,711	51	3	9.6×
Wisconsin	$4,697	49	3	6.7×
Idaho	$4,656	53	4	7.3×
Missouri	$4,643	482	25	6.8×
Ohio	$4,641	619	35	6.6×
Oklahoma	$4,570	192	10	6.9×
Colorado	$4,569	42	3	11.8×
Nebraska	$4,445	33	1	5.8×
Alabama	$4,429	206	12	6.0×
Indiana	$4,422	309	13	5.9×
Montana	$4,422	22	2	4.2×
Virginia	$4,387	438	22	7.6×
Tennessee	$4,345	523	24	7.6×
Kansas	$4,277	170	8	12.1×
Mississippi	$4,195	199	9	7.0×
Louisiana	$4,047	147	8	7.0×
Iowa	$4,033	71	4	6.0×
Arkansas	$4,018	273	13	5.7×
West Virginia	$4,016	172	7	6.6×
New Mexico	$3,938	15	1	12.6×
Kentucky	$3,871	221	10	8.2×
United States	$5,196	17,181	790	8.0×

* 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 305.

10th percentile	$3,883
25th percentile	$4,370
Median hospital	$4,925
75th percentile	$5,734
90th percentile	$6,983

The same condition at other severities

304Hypertension with MCC · $9,267

Nearby MS‑DRG numbers

303Atherosclerosis without MCC

Questions

What did Medicare pay for MS‑DRG 305 in 2024?

An average of $5,196 per discharge across 17,181 fee-for-service discharges at 790 hospitals, $89.3M in total.

Which state paid the most for MS‑DRG 305?

New York, at $7,148 per case; Kentucky paid the least, $3,871.

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.