MS‑DRG 441: Disorders of Liver except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC

What Medicare paid hospitals for MS‑DRG 441 in 2024: nationally, state by state and across hospitals.

Paid per case$16,5641.1× the all-DRG average

Discharges7,5970.15% of all Medicare discharges

Total paid$125.8M110th largest MS‑DRG by spending

Hospitals392in 48 states and DC

Charges ÷ paid6.0×$98,809 average charge

Relative weight1.8219FY2027, 4.6-day geometric mean stay; FY2026 1.7947 (+1.5%)

In 2024 Medicare paid hospitals an average of $16,564 per discharge for MS‑DRG 441, across 7,597 fee-for-service discharges at 392 hospitals: 0.15% of all Medicare inpatient discharges and $125.8M in total, the 110th largest MS‑DRG by Medicare spending.

By state, the average ran from $9,526 in Vermont to $22,943 in New York. Across hospitals, half were paid between $12,397 and $17,312 per case, and the median hospital $14,242; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $98,809 on average for these stays, 6.0 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 441 on the interactive map Price an MS‑DRG 441 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 441, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.7947	1.8219	+1.5%
Geometric mean stay (days)	4.6	4.6	0.0
Average stay (days)	6.3	6.3	0.0

Not capped: the +1.5% 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)

$13,460.11

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 441
MS‑DRG	Severity	Payment ($)	Step ($)
441	with MCC	13,460.11	—
442	with CC	7,093.91	−6,366.20
443	without CC/MCC	5,086.60	−8,373.51

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 441 at a hospital

Paid per case, by state

MS‑DRG 441 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$38,693	120	8	1.2×
New York	$22,943	428	17	8.0×
California	$21,524	1,050	57	6.7×
Massachusetts	$19,063	349	15	3.3×
Connecticut	$18,876	50	2	4.6×
District of Columbia	$17,426	37	1	5.9×
New Jersey	$17,166	230	16	7.3×
Minnesota	$16,756	123	6	4.4×
Nevada	$16,409	40	3	5.3×
Wyoming	$16,221	12	1	1.8×
Kansas	$16,079	98	3	8.9×
Ohio	$15,989	160	8	5.3×
Oregon	$15,957	70	5	4.1×
Washington	$15,820	115	6	5.0×
Utah	$15,732	64	2	3.9×
New Hampshire	$15,643	39	3	4.0×
Pennsylvania	$15,336	375	21	8.2×
Michigan	$15,289	168	8	4.4×
New Mexico	$15,195	63	4	3.0×
Arizona	$15,060	197	9	5.5×
Florida	$14,919	489	25	7.0×
Wisconsin	$14,826	106	5	5.4×
Colorado	$14,748	87	5	8.2×
Texas	$14,714	817	39	7.3×
Missouri	$14,692	160	8	5.4×
Illinois	$14,568	258	15	5.8×
South Dakota	$14,552	44	2	4.5×
North Carolina	$14,487	219	12	4.2×
Virginia	$14,235	238	11	6.0×
Delaware	$13,832	40	2	4.8×
Oklahoma	$13,159	153	7	6.6×
Nebraska	$12,973	57	2	3.9×
North Dakota	$12,941	32	2	3.0×
Indiana	$12,920	189	11	4.9×
Tennessee	$12,776	188	8	5.2×
Montana	$12,762	21	1	2.2×
Idaho	$12,727	30	2	3.8×
Georgia	$12,405	85	5	6.8×
Louisiana	$12,345	82	5	6.0×
Iowa	$12,176	63	4	4.5×
Arkansas	$12,157	23	2	3.0×
South Carolina	$11,848	123	8	4.4×
Mississippi	$11,785	73	5	4.3×
Hawaii	$11,641	19	1	5.9×
Kentucky	$11,571	99	4	5.0×
Alabama	$11,162	56	2	6.1×
West Virginia	$11,105	29	2	6.4×
Maine	$11,104	14	1	6.0×
Vermont	$9,526	15	1	5.0×
United States	$16,564	7,597	392	6.0×

* 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 441.

10th percentile	$11,077
25th percentile	$12,397
Median hospital	$14,242
75th percentile	$17,312
90th percentile	$21,395

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

442Disorders of Liver except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC · $8,007

Nearby MS‑DRG numbers

438Disorders of Pancreas except Malignancy with MCC

Questions

What did Medicare pay for MS‑DRG 441 in 2024?

An average of $16,564 per discharge across 7,597 fee-for-service discharges at 392 hospitals, $125.8M in total.

Which state paid the most for MS‑DRG 441?

New York, at $22,943 per case; Vermont paid the least, $9,526.

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.