MS‑DRG 419: Laparoscopic Cholecystectomy without CDE without CC/MCC

What Medicare paid hospitals for MS‑DRG 419 in 2024: nationally, state by state and across hospitals.

Paid per case$9,0120.6× the all-DRG average

Discharges2,4600.05% of all Medicare discharges

Total paid$22.2M255th largest MS‑DRG by spending

Hospitals162in 41 states

Charges ÷ paid9.2×$82,505 average charge

Relative weight1.4108FY2027, 2.3-day geometric mean stay; FY2026 1.3658 (+3.3%)

In 2024 Medicare paid hospitals an average of $9,012 per discharge for MS‑DRG 419, across 2,460 fee-for-service discharges at 162 hospitals: 0.05% of all Medicare inpatient discharges and $22.2M in total, the 255th largest MS‑DRG by Medicare spending.

By state, the average ran from $5,342 in Alabama to $11,827 in California. Across hospitals, half were paid between $7,949 and $9,699 per case, and the median hospital $8,595; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $82,505 on average for these stays, 9.2 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 419 on the interactive map Price an MS‑DRG 419 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 419, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.3658	1.4108	+3.3%
Geometric mean stay (days)	2.2	2.3	+0.1
Average stay (days)	2.6	2.6	0.0

Not capped: the +3.3% 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)

$10,422.92

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 419
MS‑DRG	Severity	Payment ($)	Step ($)
417	with MCC	17,741.42	+7,318.50
418	with CC	12,827.70	+2,404.78
419	without CC/MCC	10,422.92	—

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 419 at a hospital

Paid per case, by state

MS‑DRG 419 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$11,944	29	2	1.3×
California	$11,827	184	11	9.6×
New York	$11,524	159	9	7.7×
Washington	$10,463	58	4	8.0×
Massachusetts	$10,369	117	8	4.3×
Connecticut	$10,055	15	1	6.2×
New Jersey	$9,718	103	7	8.3×
Tennessee	$9,587	30	2	8.2×
Georgia	$9,558	18	1	9.4×
Minnesota	$9,491	38	3	5.3×
Delaware	$9,411	38	3	5.3×
New Hampshire	$9,369	11	1	13.9×
South Dakota	$9,096	17	1	5.7×
Hawaii	$9,025	11	1	6.3×
Colorado	$8,977	16	1	7.2×
Oregon	$8,869	15	1	4.6×
Indiana	$8,700	30	2	7.6×
Wisconsin	$8,595	25	2	7.1×
Virginia	$8,512	109	6	12.8×
Michigan	$8,392	83	6	5.7×
Ohio	$8,370	91	6	8.9×
Illinois	$8,367	78	6	8.8×
Nebraska	$8,357	11	1	5.3×
Arizona	$8,336	85	5	10.7×
Kansas	$8,328	33	2	15.3×
North Carolina	$8,294	92	7	6.8×
Oklahoma	$8,264	29	2	9.3×
Pennsylvania	$8,252	131	8	7.7×
Florida	$8,186	336	20	12.8×
West Virginia	$8,176	13	1	9.5×
Arkansas	$8,127	11	1	3.9×
South Carolina	$8,104	66	4	11.1×
Texas	$8,038	221	15	13.1×
Vermont	$7,571	13	1	6.1×
Utah	$7,474	22	2	11.0×
Louisiana	$7,403	24	2	7.0×
Idaho	$7,211	14	1	10.4×
Kentucky	$7,119	33	2	8.8×
Missouri	$7,101	25	2	4.9×
Mississippi	$5,903	15	1	5.5×
Alabama	$5,342	11	1	33.9×
United States	$9,012	2,460	162	9.2×

* 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 419.

10th percentile	$7,117
25th percentile	$7,949
Median hospital	$8,595
75th percentile	$9,699
90th percentile	$11,332

The same condition at other severities

417Laparoscopic Cholecystectomy without CDE with MCC · $17,873
418Laparoscopic Cholecystectomy without CDE with CC · $11,906

Nearby MS‑DRG numbers

427Multiple Level Combined Anterior and Posterior Spinal Fusion except Cervical with CC

Questions

What did Medicare pay for MS‑DRG 419 in 2024?

An average of $9,012 per discharge across 2,460 fee-for-service discharges at 162 hospitals, $22.2M in total.

Which state paid the most for MS‑DRG 419?

California, at $11,827 per case; Alabama paid the least, $5,342.

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.