MS‑DRG 374: Digestive Malignancy with MCC

What Medicare paid hospitals for MS‑DRG 374 in 2024: nationally, state by state and across hospitals.

Paid per case$18,3591.2× the all-DRG average

Discharges5,4860.11% of all Medicare discharges

Total paid$100.7M132nd largest MS‑DRG by spending

Hospitals288in 42 states and DC

Charges ÷ paid6.3×$115,406 average charge

Relative weight2.1109FY2027, 5.4-day geometric mean stay; FY2026 2.1387 (−1.3%)

In 2024 Medicare paid hospitals an average of $18,359 per discharge for MS‑DRG 374, across 5,486 fee-for-service discharges at 288 hospitals: 0.11% of all Medicare inpatient discharges and $100.7M in total, the 132nd largest MS‑DRG by Medicare spending.

By state, the average ran from $12,749 in North Dakota to $24,490 in California. Across hospitals, half were paid between $13,859 and $19,621 per case, and the median hospital $16,055; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $115,406 on average for these stays, 6.3 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 374 on the interactive map Price an MS‑DRG 374 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 374, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	2.1387	2.1109	−1.3%
Geometric mean stay (days)	5.5	5.4	−0.1
Average stay (days)	7.6	7.4	−0.2

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)

$15,595.22

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 374
MS‑DRG	Severity	Payment ($)	Step ($)
374	with MCC	15,595.22	—
375	with CC	8,745.86	−6,849.36
376	without CC/MCC	6,596.70	−8,998.52

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 374 at a hospital

Paid per case, by state

MS‑DRG 374 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$31,331	110	7	1.2×
California	$24,490	674	35	8.7×
New Hampshire	$23,815	15	1	4.7×
New York	$23,606	635	22	7.9×
Alaska	$23,416	12	1	5.0×
Connecticut	$20,941	91	4	4.6×
Massachusetts	$20,060	352	14	3.3×
Oregon	$19,915	49	3	4.2×
New Jersey	$17,977	294	15	8.2×
Wisconsin	$17,588	58	3	5.0×
Minnesota	$17,390	124	6	4.2×
District of Columbia	$17,268	59	3	4.9×
Utah	$17,076	18	1	3.1×
Nevada	$17,030	45	3	8.9×
Washington	$16,961	120	8	4.9×
North Carolina	$16,669	149	10	4.0×
South Dakota	$16,354	30	2	5.8×
Missouri	$16,290	106	6	5.2×
Hawaii	$16,186	14	1	8.4×
Pennsylvania	$16,175	228	14	8.0×
Arizona	$16,162	74	3	4.4×
Georgia	$15,702	64	5	6.9×
Illinois	$15,665	401	21	5.1×
Delaware	$15,576	27	1	4.7×
Ohio	$15,436	154	8	5.0×
Michigan	$15,375	154	10	4.1×
Idaho	$15,140	14	1	4.0×
Alabama	$14,799	17	1	3.9×
Virginia	$14,584	183	11	4.2×
Texas	$14,525	319	18	8.0×
Indiana	$14,485	61	4	4.6×
Florida	$14,455	342	17	7.0×
Nebraska	$14,392	44	3	4.2×
Kansas	$14,155	59	3	8.7×
Louisiana	$14,119	12	1	2.1×
Iowa	$13,921	36	2	5.7×
South Carolina	$13,912	60	4	5.9×
Oklahoma	$13,886	68	4	5.8×
Kentucky	$13,582	46	2	4.7×
Tennessee	$13,219	124	7	5.6×
Arkansas	$13,216	12	1	5.6×
New Mexico	$12,775	21	1	3.1×
North Dakota	$12,749	11	1	2.7×
United States	$18,359	5,486	288	6.3×

* 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 374.

10th percentile	$12,736
25th percentile	$13,859
Median hospital	$16,055
75th percentile	$19,621
90th percentile	$24,181

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

375Digestive Malignancy with CC · $9,846

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 374 in 2024?

An average of $18,359 per discharge across 5,486 fee-for-service discharges at 288 hospitals, $100.7M in total.

Which state paid the most for MS‑DRG 374?

California, at $24,490 per case; North Dakota paid the least, $12,749.

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.