MS‑DRG 580: Other Skin, Subcutaneous Tissue and Breast Procedures with CC
What Medicare paid hospitals for MS‑DRG 580 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $13,552 per discharge for MS‑DRG 580, across 1,201 fee-for-service discharges at 84 hospitals: 0.02% of all Medicare inpatient discharges and $16.3M in total, the 273rd largest MS‑DRG by Medicare spending.
By state, the average ran from $7,972 in Mississippi to $17,544 in California. Across hospitals, half were paid between $11,314 and $15,364 per case, and the median hospital $12,756; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $99,591 on average for these stays, 7.3 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.
What changed in FY2027
The rates for discharges from October 1, 2026 (MS‑DRG version 44) against FY2026.
| FY2026 | FY2027 | Change | |
|---|---|---|---|
| Relative weight | 1.7280 | 1.7365 | +0.5% |
| Geometric mean stay (days) | 4.1 | 4.0 | −0.1 |
| Average stay (days) | 5.5 | 5.3 | −0.2 |
- 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)
$12,829.18
The FY2027 weight times the operating standardized amount and the capital rate ($6,848.00 + $539.95) at a wage index of 1.0. No IME, DSH, outlier or other hospital-specific adjustment, so it is not what any hospital is paid; price it at a hospital for that.
| MS‑DRG | Severity | Payment ($) | Step ($) |
|---|---|---|---|
| 579 | with MCC | 23,997.54 | +11,168.36 |
| 580 | with CC | 12,829.18 | — |
| 581 | without CC/MCC | 11,345.67 | −1,483.51 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 580 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| California | $17,544 | 109 | 8 | 10.4× |
| Massachusetts | $17,245 | 41 | 3 | 4.0× |
| New York | $16,531 | 113 | 7 | 7.4× |
| Louisiana | $16,503 | 22 | 2 | 9.6× |
| Washington | $16,449 | 12 | 1 | 5.6× |
| Minnesota | $16,069 | 30 | 2 | 4.3× |
| Maryland* | $16,064 | 12 | 1 | 1.2× |
| Nevada | $15,341 | 27 | 2 | 9.1× |
| Rhode Island | $15,331 | 14 | 1 | 4.1× |
| Utah | $15,031 | 12 | 1 | 2.6× |
| South Carolina | $14,834 | 29 | 2 | 5.5× |
| Georgia | $14,039 | 11 | 1 | 5.6× |
| Pennsylvania | $13,973 | 29 | 2 | 9.3× |
| Delaware | $13,746 | 18 | 1 | 3.3× |
| Missouri | $13,354 | 30 | 2 | 4.2× |
| Kansas | $12,860 | 12 | 1 | 8.0× |
| Arkansas | $12,769 | 11 | 1 | 4.9× |
| Tennessee | $12,742 | 15 | 1 | 7.9× |
| Wisconsin | $12,692 | 28 | 2 | 4.9× |
| Virginia | $12,687 | 39 | 3 | 6.2× |
| Alabama | $12,660 | 13 | 1 | 8.1× |
| Arizona | $12,638 | 31 | 2 | 7.7× |
| Michigan | $12,572 | 54 | 4 | 6.1× |
| Oklahoma | $12,089 | 53 | 4 | 6.3× |
| New Jersey | $11,995 | 34 | 2 | 12.1× |
| Colorado | $11,974 | 17 | 1 | 7.1× |
| Kentucky | $11,929 | 36 | 2 | 6.0× |
| South Dakota | $11,866 | 12 | 1 | 5.5× |
| North Carolina | $11,664 | 49 | 4 | 5.2× |
| Florida | $11,408 | 132 | 8 | 10.3× |
| Ohio | $11,353 | 46 | 4 | 5.6× |
| Illinois | $11,161 | 13 | 1 | 11.2× |
| Texas | $10,890 | 42 | 2 | 11.8× |
| North Dakota | $10,782 | 13 | 1 | 4.1× |
| Nebraska | $9,885 | 15 | 1 | 4.1× |
| Indiana | $8,417 | 12 | 1 | 5.6× |
| Mississippi | $7,972 | 15 | 1 | 7.8× |
| United States | $13,552 | 1,201 | 84 | 7.3× |
* 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 580.
| 10th percentile | $9,921 |
|---|---|
| 25th percentile | $11,314 |
| Median hospital | $12,756 |
| 75th percentile | $15,364 |
| 90th percentile | $17,383 |
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Questions
What did Medicare pay for MS‑DRG 580 in 2024?
An average of $13,552 per discharge across 1,201 fee-for-service discharges at 84 hospitals, $16.3M in total.
Which state paid the most for MS‑DRG 580?
California, at $17,544 per case; Mississippi paid the least, $7,972.
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.