MS‑DRG 405: Pancreas, Liver and Shunt Procedures with MCC

What Medicare paid hospitals for MS‑DRG 405 in 2024: nationally, state by state and across hospitals.

Paid per case$55,7753.7× the all-DRG average

Discharges1,7590.04% of all Medicare discharges

Total paid$98.1M134th largest MS‑DRG by spending

Hospitals88in 34 states and DC

Charges ÷ paid5.6×$311,752 average charge

Relative weight5.3839FY2027, 8.4-day geometric mean stay; FY2026 5.4705 (−1.6%)

In 2024 Medicare paid hospitals an average of $55,775 per discharge for MS‑DRG 405, across 1,759 fee-for-service discharges at 88 hospitals: 0.04% of all Medicare inpatient discharges and $98.1M in total, the 134th largest MS‑DRG by Medicare spending.

By state, the average ran from $37,098 in Kentucky to $82,916 in California. Across hospitals, half were paid between $41,566 and $60,022 per case, and the median hospital $50,989; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $311,752 on average for these stays, 5.6 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 405 on the interactive map Price an MS‑DRG 405 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 405, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	5.4705	5.3839	−1.6%
Geometric mean stay (days)	8.4	8.4	0.0
Average stay (days)	11.8	11.6	−0.2

Not capped: the −1.6% 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)

$39,775.98

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 405
MS‑DRG	Severity	Payment ($)	Step ($)
405	with MCC	39,775.98	—
406	with CC	21,788.54	−17,987.44
407	without CC/MCC	16,038.50	−23,737.48

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 405 at a hospital

Paid per case, by state

MS‑DRG 405 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
California	$82,916	225	9	6.4×
Maryland*	$74,234	55	2	1.2×
New York	$70,217	155	5	6.4×
Oregon	$63,618	20	1	3.5×
District of Columbia	$61,907	42	2	7.1×
Colorado	$59,499	22	1	7.4×
Connecticut	$57,866	15	1	3.3×
Massachusetts	$57,695	96	4	3.5×
New Hampshire	$57,579	22	1	3.3×
Washington	$55,722	56	4	5.1×
Iowa	$55,565	18	1	4.6×
Minnesota	$54,771	49	2	2.6×
New Jersey	$54,428	42	3	5.7×
Wisconsin	$52,260	21	1	3.8×
Arizona	$52,095	46	3	4.6×
Oklahoma	$51,474	32	2	8.0×
Nebraska	$50,460	20	1	3.7×
North Dakota	$50,295	11	1	3.7×
Michigan	$50,137	20	1	6.4×
Illinois	$49,709	40	3	4.3×
Indiana	$48,699	58	2	5.1×
Virginia	$48,466	31	2	3.3×
Pennsylvania	$48,053	85	5	8.3×
Missouri	$46,943	36	2	5.4×
Tennessee	$46,362	22	1	6.4×
South Carolina	$46,338	27	1	5.1×
Texas	$45,433	126	7	6.8×
North Carolina	$43,721	35	2	3.9×
Kansas	$40,927	20	1	5.0×
Ohio	$40,485	60	3	5.7×
Florida	$40,137	122	7	6.4×
Alabama	$39,998	26	2	12.5×
Georgia	$39,874	51	2	6.4×
Utah	$38,504	24	1	3.6×
Kentucky	$37,098	29	2	5.4×
United States	$55,775	1,759	88	5.6×

* 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 405.

10th percentile	$35,006
25th percentile	$41,566
Median hospital	$50,989
75th percentile	$60,022
90th percentile	$71,933

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

406Pancreas, Liver and Shunt Procedures with CC · $26,175

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 405 in 2024?

An average of $55,775 per discharge across 1,759 fee-for-service discharges at 88 hospitals, $98.1M in total.

Which state paid the most for MS‑DRG 405?

California, at $82,916 per case; Kentucky paid the least, $37,098.

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.