MS‑DRG 388: Gastrointestinal Obstruction with MCC

What Medicare paid hospitals for MS‑DRG 388 in 2024: nationally, state by state and across hospitals.

Paid per case$11,5140.8× the all-DRG average

Discharges8,8320.18% of all Medicare discharges

Total paid$101.7M131st largest MS‑DRG by spending

Hospitals505in 48 states and DC

Charges ÷ paid6.4×$73,423 average charge

Relative weight1.4709FY2027, 4.5-day geometric mean stay; FY2026 1.4768 (−0.4%)

In 2024 Medicare paid hospitals an average of $11,514 per discharge for MS‑DRG 388, across 8,832 fee-for-service discharges at 505 hospitals: 0.18% of all Medicare inpatient discharges and $101.7M in total, the 131st largest MS‑DRG by Medicare spending.

By state, the average ran from $6,006 in Vermont to $15,468 in New York. Across hospitals, half were paid between $9,427 and $12,509 per case, and the median hospital $10,473; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $73,423 on average for these stays, 6.4 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 388 on the interactive map Price an MS‑DRG 388 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 388, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.4768	1.4709	−0.4%
Geometric mean stay (days)	4.5	4.5	0.0
Average stay (days)	6.0	5.9	−0.1

Not capped: the −0.4% 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)

$10,866.94

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 388
MS‑DRG	Severity	Payment ($)	Step ($)
388	with MCC	10,866.94	—
389	with CC	5,829.83	−5,037.11
390	without CC/MCC	3,992.45	−6,874.49

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 388 at a hospital

Paid per case, by state

MS‑DRG 388 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
New York	$15,468	617	27	7.6×
California	$15,235	1,012	58	7.9×
Maryland*	$14,804	179	11	1.3×
Connecticut	$14,294	40	2	4.0×
Kansas	$13,008	90	5	8.0×
Oregon	$12,583	55	4	3.9×
Massachusetts	$12,481	407	21	3.6×
District of Columbia	$12,437	39	2	5.8×
Utah	$11,752	23	2	3.5×
New Mexico	$11,621	28	2	2.5×
Arizona	$11,587	173	11	5.5×
New Jersey	$11,581	375	22	9.0×
South Dakota	$11,510	44	2	6.5×
Idaho	$11,412	13	1	5.7×
Washington	$11,192	150	9	5.7×
Minnesota	$11,147	188	12	4.3×
Pennsylvania	$11,125	365	23	8.2×
Nevada	$11,077	102	6	8.4×
Delaware	$10,956	60	3	4.2×
Illinois	$10,835	460	27	5.3×
Texas	$10,757	626	34	7.9×
North Carolina	$10,715	190	12	3.6×
Wisconsin	$10,612	108	6	5.2×
Michigan	$10,589	159	9	3.9×
Colorado	$10,550	62	4	8.0×
Hawaii	$10,464	16	1	6.8×
North Dakota	$10,444	13	1	2.5×
Georgia	$10,384	193	13	5.9×
Rhode Island	$10,344	12	1	3.2×
Maine	$10,191	23	2	3.9×
Oklahoma	$10,043	145	9	6.0×
Florida	$9,947	905	45	8.0×
Nebraska	$9,947	82	4	4.3×
Virginia	$9,869	223	13	5.4×
Montana	$9,761	23	2	2.8×
Tennessee	$9,759	209	10	5.7×
Ohio	$9,755	338	22	5.0×
Iowa	$9,652	119	7	5.4×
South Carolina	$9,621	108	8	4.5×
Missouri	$9,496	180	11	5.0×
Indiana	$9,496	136	8	4.6×
New Hampshire	$9,242	13	1	4.6×
Arkansas	$9,154	86	6	4.7×
Alabama	$9,016	87	5	6.6×
Kentucky	$8,955	93	4	5.6×
Louisiana	$8,663	119	8	4.8×
Mississippi	$8,383	120	7	5.9×
West Virginia	$8,183	11	1	2.4×
Vermont	$6,006	13	1	9.2×
United States	$11,514	8,832	505	6.4×

* 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 388.

10th percentile	$8,562
25th percentile	$9,427
Median hospital	$10,473
75th percentile	$12,509
90th percentile	$15,010

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

389Gastrointestinal Obstruction with CC · $5,697
390Gastrointestinal Obstruction without CC/MCC · $3,505

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 388 in 2024?

An average of $11,514 per discharge across 8,832 fee-for-service discharges at 505 hospitals, $101.7M in total.

Which state paid the most for MS‑DRG 388?

New York, at $15,468 per case; Vermont paid the least, $6,006.

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.