MS‑DRG 406: Pancreas, Liver and Shunt Procedures with CC

What Medicare paid hospitals for MS‑DRG 406 in 2024: nationally, state by state and across hospitals.

Paid per case$26,1751.7× the all-DRG average

Discharges3,0160.06% of all Medicare discharges

Total paid$78.9M156th largest MS‑DRG by spending

Hospitals127in 35 states and DC

Charges ÷ paid6.2×$162,197 average charge

Relative weight2.9492FY2027, 4.6-day geometric mean stay; FY2026 2.9002 (+1.7%)

In 2024 Medicare paid hospitals an average of $26,175 per discharge for MS‑DRG 406, across 3,016 fee-for-service discharges at 127 hospitals: 0.06% of all Medicare inpatient discharges and $78.9M in total, the 156th largest MS‑DRG by Medicare spending.

By state, the average ran from $16,773 in Alabama to $35,932 in California. Across hospitals, half were paid between $19,828 and $27,402 per case, and the median hospital $23,284; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $162,197 on average for these stays, 6.2 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 406 on the interactive map Price an MS‑DRG 406 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 406, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	2.9002	2.9492	+1.7%
Geometric mean stay (days)	4.7	4.6	−0.1
Average stay (days)	5.9	5.8	−0.1

Not capped: the +1.7% 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)

$21,788.54

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 406
MS‑DRG	Severity	Payment ($)	Step ($)
405	with MCC	39,775.98	+17,987.44
406	with CC	21,788.54	—
407	without CC/MCC	16,038.50	−5,750.04

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 406 at a hospital

Paid per case, by state

MS‑DRG 406 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$49,214	124	3	1.2×
California	$35,932	293	10	7.8×
Louisiana	$34,415	24	1	7.3×
New Hampshire	$31,747	24	1	5.7×
New York	$31,322	177	7	6.5×
Massachusetts	$30,458	166	3	4.0×
Oregon	$29,908	21	1	5.3×
District of Columbia	$26,075	23	1	4.6×
Minnesota	$25,847	123	4	4.6×
Pennsylvania	$25,349	218	7	8.2×
Colorado	$25,254	27	1	9.2×
New Jersey	$25,009	69	5	6.7×
Arizona	$24,841	63	3	5.4×
Connecticut	$24,722	31	2	4.4×
Virginia	$23,897	91	4	4.7×
Indiana	$23,612	72	2	6.2×
Washington	$23,414	64	3	5.5×
Utah	$23,234	39	2	3.4×
Illinois	$22,824	142	6	6.5×
Iowa	$22,664	29	2	6.4×
North Carolina	$22,529	122	7	4.8×
Ohio	$22,513	91	4	6.2×
Michigan	$22,500	72	4	5.4×
Florida	$22,391	179	9	9.6×
Wisconsin	$21,981	70	3	7.0×
South Carolina	$21,446	61	3	6.6×
Missouri	$21,252	74	3	6.1×
Kansas	$20,896	39	1	5.6×
Nebraska	$20,759	48	2	4.9×
Arkansas	$20,532	29	2	4.4×
Tennessee	$20,386	77	5	7.3×
Georgia	$20,226	68	3	7.1×
West Virginia	$19,947	16	1	7.0×
Kentucky	$19,760	41	2	6.2×
Texas	$19,409	168	8	8.3×
Alabama	$16,773	41	2	13.7×
United States	$26,175	3,016	127	6.2×

* 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 406.

10th percentile	$18,290
25th percentile	$19,828
Median hospital	$23,284
75th percentile	$27,402
90th percentile	$32,639

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

405Pancreas, Liver and Shunt Procedures with MCC · $55,775

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 406 in 2024?

An average of $26,175 per discharge across 3,016 fee-for-service discharges at 127 hospitals, $78.9M in total.

Which state paid the most for MS‑DRG 406?

California, at $35,932 per case; Alabama paid the least, $16,773.

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.