MS‑DRG 313: Chest Pain

What Medicare paid hospitals for MS‑DRG 313 in 2024: nationally, state by state and across hospitals.

Paid per case$5,1410.3× the all-DRG average

Discharges13,6060.27% of all Medicare discharges

Total paid$69.9M167th largest MS‑DRG by spending

Hospitals616in 43 states and DC

Charges ÷ paid8.2×$42,150 average charge

Relative weight0.7114FY2027, 1.7-day geometric mean stay; FY2026 0.7200 (−1.2%)

In 2024 Medicare paid hospitals an average of $5,141 per discharge for MS‑DRG 313, across 13,606 fee-for-service discharges at 616 hospitals: 0.27% of all Medicare inpatient discharges and $69.9M in total, the 167th largest MS‑DRG by Medicare spending.

By state, the average ran from $3,651 in Arkansas to $7,361 in District of Columbia. Across hospitals, half were paid between $4,194 and $5,804 per case, and the median hospital $4,833; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $42,150 on average for these stays, 8.2 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 313 on the interactive map Price an MS‑DRG 313 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 313, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	0.7200	0.7114	−1.2%
Geometric mean stay (days)	1.7	1.7	0.0
Average stay (days)	2.1	2.1	0.0

Not capped: the −1.2% 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)

$5,255.79

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 inpatient rates: what else changed on October 1 · Price MS‑DRG 313 at a hospital

Paid per case, by state

MS‑DRG 313 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$7,861	179	12	1.3×
District of Columbia	$7,361	32	2	6.5×
New York	$7,191	1,079	35	6.8×
Connecticut	$6,837	34	2	5.8×
Hawaii	$6,637	20	1	5.2×
California	$6,509	1,366	65	9.7×
Oregon	$6,285	12	1	3.4×
Nevada	$5,497	253	10	17.5×
Georgia	$5,468	523	30	6.7×
New Jersey	$5,358	439	22	8.6×
Massachusetts	$5,187	497	22	3.9×
Texas	$4,931	1,013	44	10.2×
Idaho	$4,916	13	1	7.1×
Illinois	$4,851	545	31	6.8×
Florida	$4,845	2,859	96	10.0×
New Hampshire	$4,810	35	3	8.7×
Delaware	$4,759	36	2	5.5×
North Carolina	$4,758	323	17	6.2×
North Dakota	$4,737	15	1	4.5×
Michigan	$4,672	380	20	4.9×
Minnesota	$4,659	59	4	5.3×
Washington	$4,544	68	4	7.6×
Pennsylvania	$4,529	355	17	7.1×
Oklahoma	$4,503	144	7	9.1×
South Dakota	$4,485	15	1	6.3×
Kansas	$4,478	54	4	11.3×
Arizona	$4,456	157	9	10.2×
South Carolina	$4,428	228	11	7.6×
Missouri	$4,423	217	14	7.7×
Tennessee	$4,385	409	19	8.8×
Nebraska	$4,291	12	1	6.0×
Wisconsin	$4,285	78	5	7.0×
Maine	$4,246	20	1	7.7×
Kentucky	$4,217	200	8	7.3×
Montana	$4,199	11	1	4.2×
Alabama	$4,191	335	15	6.7×
Indiana	$4,170	213	11	7.0×
Ohio	$4,155	399	23	6.8×
Virginia	$4,094	377	16	7.8×
West Virginia	$3,884	283	10	6.2×
Mississippi	$3,768	95	5	8.0×
Louisiana	$3,740	182	10	6.8×
New Mexico	$3,722	15	1	11.8×
Arkansas	$3,651	27	2	4.2×
United States	$5,141	13,606	616	8.2×

* 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 313.

10th percentile	$3,782
25th percentile	$4,194
Median hospital	$4,833
75th percentile	$5,804
90th percentile	$6,873

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 313 in 2024?

An average of $5,141 per discharge across 13,606 fee-for-service discharges at 616 hospitals, $69.9M in total.

Which state paid the most for MS‑DRG 313?

District of Columbia, at $7,361 per case; Arkansas paid the least, $3,651.

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.