MS‑DRG 605: Trauma to the Skin, Subcutaneous Tissue and Breast without MCC
What Medicare paid hospitals for MS‑DRG 605 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $7,200 per discharge for MS‑DRG 605, across 5,045 fee-for-service discharges at 284 hospitals: 0.10% of all Medicare inpatient discharges and $36.3M in total, the 221st largest MS‑DRG by Medicare spending.
By state, the average ran from $4,860 in Iowa to $12,525 in Georgia. Across hospitals, half were paid between $5,792 and $7,637 per case, and the median hospital $6,496; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $50,404 on average for these stays, 7.0 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 | 0.9160 | 0.9079 | −0.9% |
| Geometric mean stay (days) | 2.7 | 2.6 | −0.1 |
| Average stay (days) | 3.3 | 3.3 | 0.0 |
- Not capped: the −0.9% 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)
$6,707.52
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 ($) |
|---|---|---|---|
| 604 | with MCC | 10,734.69 | +4,027.17 |
| 605 | without MCC | 6,707.52 | — |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 605 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Georgia | $12,525 | 68 | 3 | 5.7× |
| Maryland* | $10,188 | 139 | 9 | 1.3× |
| New York | $10,045 | 613 | 28 | 6.2× |
| Oklahoma | $9,741 | 11 | 1 | 8.3× |
| California | $8,940 | 456 | 26 | 8.4× |
| Nevada | $8,541 | 28 | 2 | 6.4× |
| Connecticut | $7,463 | 30 | 2 | 4.3× |
| Rhode Island | $7,457 | 29 | 2 | 3.3× |
| Texas | $7,315 | 177 | 12 | 8.7× |
| Massachusetts | $7,106 | 276 | 15 | 3.2× |
| New Jersey | $6,689 | 195 | 12 | 8.7× |
| Minnesota | $6,679 | 74 | 6 | 4.6× |
| Arizona | $6,669 | 91 | 6 | 8.7× |
| Indiana | $6,499 | 71 | 5 | 5.9× |
| Wisconsin | $6,435 | 36 | 3 | 7.2× |
| Arkansas | $6,414 | 14 | 1 | 2.9× |
| Delaware | $6,333 | 36 | 1 | 6.4× |
| New Hampshire | $6,288 | 26 | 2 | 9.0× |
| North Carolina | $6,274 | 92 | 6 | 5.2× |
| Tennessee | $6,231 | 59 | 5 | 7.0× |
| Michigan | $6,230 | 113 | 7 | 4.7× |
| Florida | $6,219 | 872 | 41 | 9.8× |
| Nebraska | $6,203 | 41 | 3 | 4.2× |
| Colorado | $6,150 | 12 | 1 | 8.2× |
| Pennsylvania | $6,144 | 440 | 21 | 8.0× |
| Utah | $6,134 | 22 | 2 | 4.0× |
| Illinois | $6,086 | 213 | 14 | 5.6× |
| South Carolina | $6,085 | 36 | 3 | 7.9× |
| Ohio | $5,985 | 166 | 9 | 5.8× |
| Washington | $5,977 | 13 | 1 | 6.8× |
| Virginia | $5,871 | 180 | 11 | 9.1× |
| North Dakota | $5,845 | 23 | 1 | 4.3× |
| Missouri | $5,755 | 134 | 7 | 6.0× |
| Kentucky | $5,659 | 52 | 3 | 6.3× |
| Kansas | $5,561 | 79 | 5 | 12.2× |
| Alabama | $5,538 | 36 | 2 | 5.1× |
| Maine | $5,532 | 14 | 1 | 6.0× |
| West Virginia | $5,391 | 38 | 3 | 5.0× |
| Louisiana | $5,004 | 15 | 1 | 7.7× |
| Iowa | $4,860 | 25 | 1 | 7.7× |
| United States | $7,200 | 5,045 | 284 | 7.0× |
* 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 605.
| 10th percentile | $5,302 |
|---|---|
| 25th percentile | $5,792 |
| Median hospital | $6,496 |
| 75th percentile | $7,637 |
| 90th percentile | $9,395 |
More in Skin, subcutaneous tissue and breast
Questions
What did Medicare pay for MS‑DRG 605 in 2024?
An average of $7,200 per discharge across 5,045 fee-for-service discharges at 284 hospitals, $36.3M in total.
Which state paid the most for MS‑DRG 605?
Georgia, at $12,525 per case; Iowa paid the least, $4,860.
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.