MS‑DRG 378: Gastrointestinal Hemorrhage with CC

What Medicare paid hospitals for MS‑DRG 378 in 2024: nationally, state by state and across hospitals.

Paid per case$7,2950.5× the all-DRG average

Discharges75,6131.53% of all Medicare discharges

Total paid$551.6M34th largest MS‑DRG by spending

Hospitals1,789in 50 states and DC

Charges ÷ paid6.7×$48,832 average charge

Relative weight0.9732FY2027, 2.9-day geometric mean stay; FY2026 0.9807 (−0.8%)

In 2024 Medicare paid hospitals an average of $7,295 per discharge for MS‑DRG 378, across 75,613 fee-for-service discharges at 1,789 hospitals: 1.53% of all Medicare inpatient discharges and $551.6M in total, the 34th largest MS‑DRG by Medicare spending.

By state, the average ran from $4,920 in Vermont to $10,963 in Alaska. Across hospitals, half were paid between $6,089 and $7,998 per case, and the median hospital $6,807; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $48,832 on average for these stays, 6.7 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 378 on the interactive map Price an MS‑DRG 378 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 378, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	0.9807	0.9732	−0.8%
Geometric mean stay (days)	2.9	2.9	0.0
Average stay (days)	3.5	3.4	−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)

$7,189.95

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 378
MS‑DRG	Severity	Payment ($)	Step ($)
377	with MCC	13,392.14	+6,202.19
378	with CC	7,189.95	—
379	without CC/MCC	4,714.25	−2,475.70

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 378 at a hospital

Paid per case, by state

MS‑DRG 378 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$11,922	2,033	38	1.2×
Alaska	$10,963	180	7	5.5×
California	$9,584	6,474	163	8.4×
Hawaii	$8,974	309	8	4.7×
New York	$8,894	4,227	85	7.3×
Wyoming	$8,737	118	3	4.1×
Connecticut	$8,648	802	22	4.8×
District of Columbia	$8,574	224	5	6.5×
Oregon	$8,210	568	24	4.2×
Massachusetts	$8,149	2,318	43	3.2×
New Jersey	$7,837	2,694	51	10.1×
Nevada	$7,725	532	15	12.1×
Rhode Island	$7,625	296	7	4.2×
Texas	$7,398	4,294	114	7.8×
Maine	$7,285	240	10	4.7×
Delaware	$7,260	493	5	4.5×
Georgia	$7,207	2,236	60	6.4×
New Hampshire	$7,172	333	12	5.5×
Washington	$7,163	1,471	38	6.2×
Utah	$7,133	370	13	4.7×
Arizona	$6,987	1,485	38	7.8×
New Mexico	$6,980	308	8	6.5×
South Dakota	$6,955	350	6	5.3×
Colorado	$6,823	708	27	8.9×
North Carolina	$6,813	2,485	57	5.1×
Illinois	$6,812	3,301	73	6.2×
Minnesota	$6,806	1,036	22	4.5×
Idaho	$6,800	297	9	5.3×
Pennsylvania	$6,743	3,626	86	7.9×
Michigan	$6,716	2,134	53	4.8×
Florida	$6,633	6,172	128	9.4×
Oklahoma	$6,577	1,092	26	6.7×
Nebraska	$6,505	464	12	4.7×
South Carolina	$6,482	1,619	35	6.4×
Indiana	$6,478	1,903	43	6.2×
North Dakota	$6,421	293	6	4.0×
Montana	$6,384	301	8	4.0×
Missouri	$6,351	1,791	44	6.1×
Wisconsin	$6,348	1,310	39	5.3×
Virginia	$6,326	2,456	48	6.2×
Kansas	$6,250	718	19	7.8×
Ohio	$6,232	2,966	76	6.3×
Tennessee	$6,016	1,606	34	6.5×
Kentucky	$5,947	1,149	27	6.8×
Mississippi	$5,911	1,048	21	6.6×
Arkansas	$5,904	958	20	5.5×
Alabama	$5,832	1,172	33	8.1×
Iowa	$5,823	792	17	5.2×
Louisiana	$5,722	1,168	30	6.3×
West Virginia	$5,591	537	16	6.3×
Vermont	$4,920	156	5	5.8×
United States	$7,295	75,613	1,789	6.7×

* 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 378.

10th percentile	$5,523
25th percentile	$6,089
Median hospital	$6,807
75th percentile	$7,998
90th percentile	$9,601

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

377Gastrointestinal Hemorrhage with MCC · $14,302
379Gastrointestinal Hemorrhage without CC/MCC · $4,436

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 378 in 2024?

An average of $7,295 per discharge across 75,613 fee-for-service discharges at 1,789 hospitals, $551.6M in total.

Which state paid the most for MS‑DRG 378?

Alaska, at $10,963 per case; Vermont paid the least, $4,920.

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.