MS‑DRG 377: Gastrointestinal Hemorrhage with MCC

What Medicare paid hospitals for MS‑DRG 377 in 2024: nationally, state by state and across hospitals.

Paid per case$14,3020.9× the all-DRG average

Discharges51,1001.03% of all Medicare discharges

Total paid$730.8M23rd largest MS‑DRG by spending

Hospitals1,554in 50 states and DC

Charges ÷ paid6.1×$86,993 average charge

Relative weight1.8127FY2027, 4.4-day geometric mean stay; FY2026 1.8280 (−0.8%)

In 2024 Medicare paid hospitals an average of $14,302 per discharge for MS‑DRG 377, across 51,100 fee-for-service discharges at 1,554 hospitals: 1.03% of all Medicare inpatient discharges and $730.8M in total, the 23rd largest MS‑DRG by Medicare spending.

By state, the average ran from $8,318 in Vermont to $19,845 in Alaska. Across hospitals, half were paid between $11,673 and $15,488 per case, and the median hospital $13,015; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $86,993 on average for these stays, 6.1 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 377 on the interactive map Price an MS‑DRG 377 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 377, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.8280	1.8127	−0.8%
Geometric mean stay (days)	4.5	4.4	−0.1
Average stay (days)	5.8	5.7	−0.1

Not capped: the −0.8% 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)

$13,392.14

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 377
MS‑DRG	Severity	Payment ($)	Step ($)
377	with MCC	13,392.14	—
378	with CC	7,189.95	−6,202.19
379	without CC/MCC	4,714.25	−8,677.89

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 377 at a hospital

Paid per case, by state

MS‑DRG 377 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$21,714	1,195	36	1.2×
Alaska	$19,845	119	6	5.0×
California	$18,679	5,404	164	7.3×
New York	$18,054	3,440	81	6.3×
Hawaii	$17,707	198	7	3.5×
District of Columbia	$17,480	210	5	6.8×
Oregon	$17,031	429	20	3.7×
Wyoming	$16,854	50	2	3.2×
Connecticut	$16,610	616	20	4.2×
Massachusetts	$16,083	1,594	39	3.1×
Rhode Island	$15,167	166	7	3.9×
New Jersey	$15,080	1,854	50	8.5×
New Hampshire	$15,022	274	11	4.1×
Minnesota	$14,933	637	17	4.0×
Nevada	$14,549	495	17	11.1×
Delaware	$14,150	269	5	4.1×
Washington	$14,029	1,023	34	5.8×
Arizona	$13,718	892	30	6.2×
New Mexico	$13,639	249	8	5.3×
Michigan	$13,559	1,423	45	4.1×
Pennsylvania	$13,557	2,167	73	7.0×
Illinois	$13,303	2,304	68	5.4×
Georgia	$13,272	1,423	48	6.2×
Maine	$13,222	134	5	4.1×
South Dakota	$13,182	213	4	5.2×
North Carolina	$13,179	1,306	38	4.4×
Colorado	$13,109	404	19	8.2×
Texas	$13,051	3,526	109	8.2×
North Dakota	$13,014	182	5	3.2×
Nebraska	$12,942	307	13	4.4×
Utah	$12,810	236	9	4.5×
Kansas	$12,614	454	16	7.5×
Wisconsin	$12,602	663	28	4.6×
Florida	$12,579	4,261	120	8.3×
Idaho	$12,526	205	8	4.8×
Missouri	$12,455	945	33	5.5×
Indiana	$12,423	1,271	36	5.4×
South Carolina	$12,409	932	26	5.9×
Montana	$12,385	190	7	3.4×
Ohio	$12,215	1,912	66	5.7×
Virginia	$12,150	1,689	41	5.3×
Oklahoma	$12,030	726	21	5.7×
Iowa	$11,753	442	16	4.3×
Tennessee	$11,742	1,209	29	5.9×
West Virginia	$11,564	355	14	5.1×
Kentucky	$11,412	579	19	5.4×
Arkansas	$11,386	609	16	4.7×
Alabama	$11,347	624	25	7.1×
Mississippi	$11,063	580	14	5.3×
Louisiana	$10,951	630	21	5.7×
Vermont	$8,318	85	3	6.5×
United States	$14,302	51,100	1,554	6.1×

* 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 377.

10th percentile	$10,794
25th percentile	$11,673
Median hospital	$13,015
75th percentile	$15,488
90th percentile	$18,359

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

378Gastrointestinal Hemorrhage with CC · $7,295
379Gastrointestinal Hemorrhage without CC/MCC · $4,436

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 377 in 2024?

An average of $14,302 per discharge across 51,100 fee-for-service discharges at 1,554 hospitals, $730.8M in total.

Which state paid the most for MS‑DRG 377?

Alaska, at $19,845 per case; Vermont paid the least, $8,318.

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.