MS‑DRG 356: Other Digestive System O.R. Procedures with MCC

What Medicare paid hospitals for MS‑DRG 356 in 2024: nationally, state by state and across hospitals.

Paid per case$37,2672.5× the all-DRG average

Discharges2,0950.04% of all Medicare discharges

Total paid$78.1M157th largest MS‑DRG by spending

Hospitals135in 41 states and DC

Charges ÷ paid5.9×$218,547 average charge

Relative weight4.3375FY2027, 7.4-day geometric mean stay; FY2026 4.3928 (−1.3%)

In 2024 Medicare paid hospitals an average of $37,267 per discharge for MS‑DRG 356, across 2,095 fee-for-service discharges at 135 hospitals: 0.04% of all Medicare inpatient discharges and $78.1M in total, the 157th largest MS‑DRG by Medicare spending.

By state, the average ran from $21,039 in Vermont to $52,779 in New York. Across hospitals, half were paid between $29,006 and $40,850 per case, and the median hospital $35,002; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $218,547 on average for these stays, 5.9 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 356 on the interactive map Price an MS‑DRG 356 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 356, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	4.3928	4.3375	−1.3%
Geometric mean stay (days)	7.6	7.4	−0.2
Average stay (days)	10.2	10.1	−0.1

Not capped: the −1.3% 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)

$32,045.23

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 356
MS‑DRG	Severity	Payment ($)	Step ($)
356	with MCC	32,045.23	—
357	with CC	16,877.03	−15,168.20
358	without CC/MCC	10,999.92	−21,045.31

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 356 at a hospital

Paid per case, by state

MS‑DRG 356 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
New York	$52,779	104	6	7.3×
Connecticut	$51,542	22	1	5.8×
California	$50,875	173	13	7.6×
Massachusetts	$49,158	137	8	3.3×
New Hampshire	$47,254	19	1	3.8×
Minnesota	$46,144	62	3	3.6×
New Jersey	$40,750	44	3	6.7×
Iowa	$38,353	23	1	5.3×
West Virginia	$37,566	19	1	4.5×
Delaware	$37,490	18	1	3.6×
District of Columbia	$36,439	16	1	6.3×
Michigan	$36,398	40	3	4.7×
Missouri	$36,260	45	3	4.7×
South Carolina	$35,849	47	3	5.2×
Wisconsin	$35,532	27	2	4.8×
Illinois	$35,399	68	5	5.7×
Pennsylvania	$35,298	101	7	8.5×
Kansas	$35,019	35	2	8.8×
Nevada	$35,006	15	1	5.5×
Virginia	$34,817	73	5	4.5×
Arizona	$34,446	45	3	5.7×
Washington	$34,127	34	2	4.4×
Hawaii	$33,699	12	1	4.9×
Georgia	$33,430	13	1	5.2×
South Dakota	$32,953	22	2	4.8×
Texas	$32,814	144	9	7.5×
Florida	$32,164	184	11	7.4×
Maryland*	$32,068	16	1	1.2×
Oregon	$31,804	11	1	3.5×
Indiana	$31,762	63	4	5.1×
Nebraska	$31,606	28	2	4.1×
Ohio	$31,300	95	5	5.3×
Alabama	$30,977	21	1	6.5×
Kentucky	$30,584	29	2	6.1×
Mississippi	$30,311	24	2	3.8×
North Carolina	$30,112	116	7	4.5×
Oklahoma	$29,961	42	3	6.7×
Colorado	$28,053	12	1	8.4×
Tennessee	$27,347	61	4	5.6×
Louisiana	$26,306	12	1	5.3×
Idaho	$25,821	11	1	4.5×
Vermont	$21,039	12	1	5.9×
United States	$37,267	2,095	135	5.9×

* 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 356.

10th percentile	$26,871
25th percentile	$29,006
Median hospital	$35,002
75th percentile	$40,850
90th percentile	$50,115

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

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 356 in 2024?

An average of $37,267 per discharge across 2,095 fee-for-service discharges at 135 hospitals, $78.1M in total.

Which state paid the most for MS‑DRG 356?

New York, at $52,779 per case; Vermont paid the least, $21,039.

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.