MS‑DRG 391: Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC

What Medicare paid hospitals for MS‑DRG 391 in 2024: nationally, state by state and across hospitals.

Paid per case$10,2030.7× the all-DRG average

Discharges30,0340.61% of all Medicare discharges

Total paid$306.4M62nd largest MS‑DRG by spending

Hospitals1,189in 50 states and DC

Charges ÷ paid6.1×$62,657 average charge

Relative weight1.2392FY2027, 3.7-day geometric mean stay; FY2026 1.2683 (−2.3%)

In 2024 Medicare paid hospitals an average of $10,203 per discharge for MS‑DRG 391, across 30,034 fee-for-service discharges at 1,189 hospitals: 0.61% of all Medicare inpatient discharges and $306.4M in total, the 62nd largest MS‑DRG by Medicare spending.

By state, the average ran from $7,120 in Vermont to $13,461 in California. Across hospitals, half were paid between $8,222 and $11,074 per case, and the median hospital $9,296; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $62,657 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 391 on the interactive map Price an MS‑DRG 391 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 391, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.2683	1.2392	−2.3%
Geometric mean stay (days)	3.8	3.7	−0.1
Average stay (days)	5.1	5.0	−0.1

Not capped: the −2.3% 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)

$9,155.15

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 391
MS‑DRG	Severity	Payment ($)	Step ($)
391	with MCC	9,155.15	—
392	without MCC	5,648.09	−3,507.06

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 391 at a hospital

Paid per case, by state

MS‑DRG 391 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$16,099	880	33	1.2×
California	$13,461	2,806	122	7.7×
New York	$13,093	1,992	62	6.9×
Connecticut	$11,908	349	15	4.3×
Wyoming	$11,661	26	2	2.7×
District of Columbia	$11,275	121	4	6.8×
Massachusetts	$11,184	1,542	41	3.0×
Hawaii	$11,084	45	2	6.2×
Oregon	$11,009	182	10	3.3×
Nevada	$10,469	339	15	10.5×
New Jersey	$10,425	1,155	42	8.9×
Rhode Island	$10,320	104	5	4.1×
Maine	$10,291	82	4	4.7×
Washington	$10,169	520	25	5.6×
Utah	$10,143	104	5	4.0×
Minnesota	$10,112	428	15	4.4×
Georgia	$9,971	807	37	5.8×
New Hampshire	$9,852	166	8	4.6×
Texas	$9,622	1,965	83	7.2×
Delaware	$9,612	162	4	4.9×
Pennsylvania	$9,529	1,384	58	7.5×
Arizona	$9,494	617	28	6.1×
Wisconsin	$9,485	323	13	5.0×
Colorado	$9,444	233	13	9.7×
Michigan	$9,393	943	34	4.2×
North Dakota	$9,358	65	3	3.7×
North Carolina	$9,314	864	31	4.5×
South Dakota	$9,293	83	3	5.1×
New Mexico	$9,193	112	5	5.7×
Illinois	$9,185	1,367	52	5.4×
Oklahoma	$9,068	324	14	5.8×
Nebraska	$8,972	158	7	4.7×
Missouri	$8,953	665	27	5.8×
Florida	$8,930	3,131	105	8.4×
Montana	$8,841	80	5	3.3×
Ohio	$8,808	1,018	46	5.4×
Indiana	$8,807	546	25	5.5×
Virginia	$8,727	780	31	5.2×
Idaho	$8,603	98	4	5.2×
Kansas	$8,501	280	11	7.9×
South Carolina	$8,482	496	22	6.3×
Tennessee	$8,244	597	23	5.9×
Alabama	$8,035	368	19	6.2×
Alaska	$7,945	21	1	11.5×
Iowa	$7,910	241	11	4.9×
Arkansas	$7,906	302	15	5.0×
Kentucky	$7,807	337	13	5.6×
Louisiana	$7,803	308	13	5.7×
West Virginia	$7,779	255	12	4.8×
Mississippi	$7,681	214	9	5.3×
Vermont	$7,120	49	2	7.1×
United States	$10,203	30,034	1,189	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 391.

10th percentile	$7,518
25th percentile	$8,222
Median hospital	$9,296
75th percentile	$11,074
90th percentile	$13,004

Related analysis

DRG validation and the single-MCC claim: when one code moves the payment · Payment integrity

The same condition at other severities

392Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC · $5,662

Nearby MS‑DRG numbers

390Gastrointestinal Obstruction without CC/MCC

Questions

What did Medicare pay for MS‑DRG 391 in 2024?

An average of $10,203 per discharge across 30,034 fee-for-service discharges at 1,189 hospitals, $306.4M in total.

Which state paid the most for MS‑DRG 391?

California, at $13,461 per case; Vermont paid the least, $7,120.

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.