MS‑DRG 322: Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC

What Medicare paid hospitals for MS‑DRG 322 in 2024: nationally, state by state and across hospitals.

Paid per case$12,9050.9× the all-DRG average

Discharges46,5340.94% of all Medicare discharges

Total paid$600.5M29th largest MS‑DRG by spending

Hospitals1,339in 50 states and DC

Charges ÷ paid8.8×$114,054 average charge

Relative weight1.7744FY2027, 2.0-day geometric mean stay; FY2026 1.7630 (+0.6%)

In 2024 Medicare paid hospitals an average of $12,905 per discharge for MS‑DRG 322, across 46,534 fee-for-service discharges at 1,339 hospitals: 0.94% of all Medicare inpatient discharges and $600.5M in total, the 29th largest MS‑DRG by Medicare spending.

By state, the average ran from $9,094 in Vermont to $17,417 in California. Across hospitals, half were paid between $10,950 and $13,937 per case, and the median hospital $12,107; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $114,054 on average for these stays, 8.8 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 322 on the interactive map Price an MS‑DRG 322 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 322, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.7630	1.7744	+0.6%
Geometric mean stay (days)	2.0	2.0	0.0
Average stay (days)	2.3	2.4	+0.1

Not capped: the +0.6% 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)

$13,109.18

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 322
MS‑DRG	Severity	Payment ($)	Step ($)
321	with MCC	20,050.90	+6,941.72
322	without MCC	13,109.18	—

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 322 at a hospital

Paid per case, by state

MS‑DRG 322 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
California	$17,417	3,297	105	10.0×
Wyoming	$17,383	73	3	6.0×
Maryland*	$16,889	866	22	1.3×
Alaska	$16,855	133	4	9.9×
New York	$16,584	2,707	55	6.2×
Massachusetts	$16,262	1,153	22	5.0×
Connecticut	$15,838	343	11	5.5×
District of Columbia	$15,260	76	2	5.5×
Oregon	$14,911	496	16	5.5×
Hawaii	$14,266	116	4	5.9×
New Hampshire	$14,120	338	9	7.9×
New Jersey	$14,003	1,259	38	9.2×
Rhode Island	$13,921	137	3	4.6×
Nevada	$13,856	371	13	15.0×
Delaware	$13,475	218	4	6.9×
Minnesota	$13,221	916	19	6.6×
Washington	$13,046	985	30	8.0×
New Mexico	$13,013	259	9	9.2×
South Dakota	$12,623	341	5	7.3×
Colorado	$12,509	639	24	11.2×
Idaho	$12,486	314	8	7.8×
Arizona	$12,414	1,022	33	11.1×
Maine	$12,405	212	3	7.0×
Utah	$12,364	334	10	8.1×
Illinois	$12,314	1,628	54	8.5×
Pennsylvania	$12,293	2,026	66	9.3×
Georgia	$12,270	1,132	41	9.1×
Montana	$12,253	315	9	5.2×
North Carolina	$12,167	1,431	33	7.4×
Wisconsin	$12,142	828	29	6.5×
Michigan	$12,102	1,259	38	6.5×
North Dakota	$12,017	227	6	5.8×
Florida	$11,965	3,859	106	12.4×
Texas	$11,939	2,841	95	12.1×
South Carolina	$11,893	1,061	21	11.0×
Virginia	$11,753	1,444	36	9.9×
Missouri	$11,708	1,073	37	8.5×
Indiana	$11,628	1,216	37	10.1×
Nebraska	$11,563	305	10	7.5×
Ohio	$11,472	1,994	63	8.0×
Kansas	$11,313	501	16	9.5×
Iowa	$11,080	701	18	6.9×
Kentucky	$11,066	890	22	10.7×
Tennessee	$10,797	1,181	32	9.8×
Oklahoma	$10,797	726	20	8.6×
Arkansas	$10,769	724	22	7.4×
Mississippi	$10,545	569	18	10.8×
West Virginia	$10,541	552	13	9.3×
Alabama	$10,503	763	23	12.4×
Louisiana	$10,192	599	21	11.3×
Vermont	$9,094	84	1	8.9×
United States	$12,905	46,534	1,339	8.8×

* 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 322.

10th percentile	$10,161
25th percentile	$10,950
Median hospital	$12,107
75th percentile	$13,937
90th percentile	$16,790

The same condition at other severities

321Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/Intraluminal Devices · $22,191

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 322 in 2024?

An average of $12,905 per discharge across 46,534 fee-for-service discharges at 1,339 hospitals, $600.5M in total.

Which state paid the most for MS‑DRG 322?

California, at $17,417 per case; Vermont paid the least, $9,094.

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.