MS‑DRG 442: Disorders of Liver except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC

What Medicare paid hospitals for MS‑DRG 442 in 2024: nationally, state by state and across hospitals.

Paid per case$8,0070.5× the all-DRG average

Discharges4,1260.08% of all Medicare discharges

Total paid$33.0M227th largest MS‑DRG by spending

Hospitals239in 43 states and DC

Charges ÷ paid6.6×$52,941 average charge

Relative weight0.9602FY2027, 3.1-day geometric mean stay; FY2026 0.9653 (−0.5%)

In 2024 Medicare paid hospitals an average of $8,007 per discharge for MS‑DRG 442, across 4,126 fee-for-service discharges at 239 hospitals: 0.08% of all Medicare inpatient discharges and $33.0M in total, the 227th largest MS‑DRG by Medicare spending.

By state, the average ran from $4,832 in West Virginia to $10,156 in New Mexico. Across hospitals, half were paid between $6,199 and $8,851 per case, and the median hospital $7,361; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $52,941 on average for these stays, 6.6 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 442 on the interactive map Price an MS‑DRG 442 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 442, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	0.9653	0.9602	−0.5%
Geometric mean stay (days)	3.2	3.1	−0.1
Average stay (days)	4.0	4.0	0.0

Not capped: the −0.5% 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)

$7,093.91

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 442
MS‑DRG	Severity	Payment ($)	Step ($)
441	with MCC	13,460.11	+6,366.20
442	with CC	7,093.91	—
443	without CC/MCC	5,086.60	−2,007.31

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 442 at a hospital

Paid per case, by state

MS‑DRG 442 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$13,289	111	8	1.2×
New Mexico	$10,156	12	1	2.0×
California	$9,967	626	35	8.2×
New Jersey	$9,948	102	6	8.2×
New York	$9,629	141	7	11.0×
Massachusetts	$9,218	200	10	3.9×
Connecticut	$8,829	32	2	4.4×
Pennsylvania	$8,398	175	10	9.7×
Nevada	$8,275	24	2	4.1×
Hawaii	$8,258	12	1	8.0×
Arizona	$8,140	85	6	4.6×
Illinois	$7,966	110	7	6.6×
Washington	$7,947	21	1	5.8×
Texas	$7,813	354	20	6.7×
Oregon	$7,762	14	1	3.2×
Minnesota	$7,753	49	3	5.0×
Florida	$7,539	221	12	7.8×
Wisconsin	$7,509	58	4	6.0×
Georgia	$7,297	64	4	5.8×
Utah	$7,255	44	2	4.5×
Colorado	$7,221	46	2	10.6×
District of Columbia	$7,119	27	2	6.2×
North Carolina	$7,118	201	12	4.9×
South Carolina	$7,049	100	6	4.4×
Delaware	$7,002	48	2	5.4×
Michigan	$6,952	105	7	4.9×
Oklahoma	$6,929	87	4	6.9×
Missouri	$6,922	125	8	6.4×
Idaho	$6,888	15	1	4.1×
South Dakota	$6,857	11	1	4.5×
Virginia	$6,743	96	6	7.0×
Ohio	$6,712	125	7	5.2×
Indiana	$6,652	62	4	6.2×
Nebraska	$6,578	46	2	4.1×
Tennessee	$6,552	76	4	6.1×
Alabama	$6,530	39	2	6.1×
Kansas	$6,509	74	4	10.1×
Louisiana	$6,220	81	4	7.4×
Vermont	$6,157	30	2	6.0×
Mississippi	$6,114	69	5	4.7×
Iowa	$5,702	46	3	6.5×
Kentucky	$5,572	108	5	6.7×
Arkansas	$5,253	29	2	4.5×
West Virginia	$4,832	25	2	8.3×
United States	$8,007	4,126	239	6.6×

* 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 442.

10th percentile	$5,377
25th percentile	$6,199
Median hospital	$7,361
75th percentile	$8,851
90th percentile	$10,451

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

441Disorders of Liver except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC · $16,564

Questions

What did Medicare pay for MS‑DRG 442 in 2024?

An average of $8,007 per discharge across 4,126 fee-for-service discharges at 239 hospitals, $33.0M in total.

Which state paid the most for MS‑DRG 442?

New Mexico, at $10,156 per case; West Virginia paid the least, $4,832.

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.