MS‑DRG 390: Gastrointestinal Obstruction without CC/MCC

What Medicare paid hospitals for MS‑DRG 390 in 2024: nationally, state by state and across hospitals.

Paid per case$3,5050.2× the all-DRG average

Discharges8,7790.18% of all Medicare discharges

Total paid$30.8M231st largest MS‑DRG by spending

Hospitals509in 50 states and DC

Charges ÷ paid8.0×$28,072 average charge

Relative weight0.5404FY2027, 2.2-day geometric mean stay; FY2026 0.5440 (−0.7%)

In 2024 Medicare paid hospitals an average of $3,505 per discharge for MS‑DRG 390, across 8,779 fee-for-service discharges at 509 hospitals: 0.18% of all Medicare inpatient discharges and $30.8M in total, the 231st largest MS‑DRG by Medicare spending.

By state, the average ran from $2,016 in Vermont to $4,775 in California. Across hospitals, half were paid between $2,824 and $3,955 per case, and the median hospital $3,320; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $28,072 on average for these stays, 8.0 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 390 on the interactive map Price an MS‑DRG 390 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 390, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	0.5440	0.5404	−0.7%
Geometric mean stay (days)	2.2	2.2	0.0
Average stay (days)	2.6	2.6	0.0

Not capped: the −0.7% 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)

$3,992.45

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 390
MS‑DRG	Severity	Payment ($)	Step ($)
388	with MCC	10,866.94	+6,874.49
389	with CC	5,829.83	+1,837.38
390	without CC/MCC	3,992.45	—

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 390 at a hospital

Paid per case, by state

MS‑DRG 390 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$5,073	265	14	1.5×
California	$4,775	726	41	10.4×
Connecticut	$4,574	46	4	5.1×
Georgia	$4,368	111	7	5.8×
New York	$4,218	424	25	9.2×
Nevada	$3,998	78	5	9.3×
Hawaii	$3,981	27	1	7.5×
New Hampshire	$3,821	83	5	6.1×
Maine	$3,816	36	2	5.3×
Alaska	$3,808	25	2	13.8×
Oregon	$3,779	57	4	5.6×
Massachusetts	$3,667	403	20	4.0×
New Jersey	$3,654	339	19	11.3×
North Carolina	$3,631	414	23	5.5×
Wisconsin	$3,623	47	3	5.7×
Oklahoma	$3,538	115	6	6.9×
Wyoming	$3,526	11	1	4.3×
Texas	$3,491	645	42	8.9×
Washington	$3,456	151	11	7.6×
Rhode Island	$3,395	50	3	5.7×
South Carolina	$3,385	246	14	7.3×
Florida	$3,381	859	43	11.1×
Indiana	$3,336	100	7	5.9×
Michigan	$3,318	155	10	5.5×
Kansas	$3,317	67	4	12.4×
North Dakota	$3,293	29	2	4.8×
Colorado	$3,281	41	3	8.7×
Minnesota	$3,256	83	6	4.7×
Delaware	$3,248	99	4	6.4×
Idaho	$3,236	59	2	5.3×
Missouri	$3,220	151	11	6.3×
Pennsylvania	$3,173	341	18	10.9×
Arizona	$3,170	242	13	8.4×
Montana	$3,080	78	5	4.0×
Virginia	$3,044	341	20	7.6×
Ohio	$3,029	214	15	6.8×
South Dakota	$2,986	62	4	7.4×
Tennessee	$2,981	157	10	7.8×
Illinois	$2,974	384	20	8.4×
Utah	$2,915	45	3	7.6×
New Mexico	$2,841	28	2	7.7×
Nebraska	$2,825	54	3	6.6×
West Virginia	$2,757	88	5	6.8×
Mississippi	$2,718	94	5	6.0×
Arkansas	$2,585	171	11	6.7×
Iowa	$2,581	136	8	8.0×
Louisiana	$2,535	156	10	7.9×
District of Columbia	$2,488	17	1	9.0×
Alabama	$2,484	67	5	14.8×
Kentucky	$2,443	125	6	9.1×
Vermont	$2,016	37	1	13.1×
United States	$3,505	8,779	509	8.0×

* 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 390.

10th percentile	$2,464
25th percentile	$2,824
Median hospital	$3,320
75th percentile	$3,955
90th percentile	$4,801

Related analysis

Transfers and the per-diem rule: when a short stay pays less than the full DRG · Inpatient DRG

The same condition at other severities

388Gastrointestinal Obstruction with MCC · $11,514
389Gastrointestinal Obstruction with CC · $5,697

Questions

What did Medicare pay for MS‑DRG 390 in 2024?

An average of $3,505 per discharge across 8,779 fee-for-service discharges at 509 hospitals, $30.8M in total.

Which state paid the most for MS‑DRG 390?

California, at $4,775 per case; Vermont paid the least, $2,016.

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.