MS‑DRG 617: Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with CC

What Medicare paid hospitals for MS‑DRG 617 in 2024: nationally, state by state and across hospitals.

Paid per case$14,5681.0× the all-DRG average

Discharges4,4660.09% of all Medicare discharges

Total paid$65.1M173rd largest MS‑DRG by spending

Hospitals284in 47 states

Charges ÷ paid5.8×$83,896 average charge

Relative weight1.7227FY2027, 5.3-day geometric mean stay; FY2026 1.8703 (−7.9%)

In 2024 Medicare paid hospitals an average of $14,568 per discharge for MS‑DRG 617, across 4,466 fee-for-service discharges at 284 hospitals: 0.09% of all Medicare inpatient discharges and $65.1M in total, the 173rd largest MS‑DRG by Medicare spending.

By state, the average ran from $7,412 in Vermont to $20,221 in Nebraska. Across hospitals, half were paid between $12,078 and $16,323 per case, and the median hospital $13,694; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $83,896 on average for these stays, 5.8 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 617 on the interactive map Price an MS‑DRG 617 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 617, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.8703	1.7227	−7.9%
Geometric mean stay (days)	5.6	5.3	−0.3
Average stay (days)	6.7	6.3	−0.4

Not capped: the −7.9% is CMS’s yearly recalibration of every weight from recent claims and cost data.
Now a special-pay MS‑DRG under the transfer rule. How the transfer rule pays.

FY2027 national base payment (illustration)

$12,727.22

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 617
MS‑DRG	Severity	Payment ($)	Step ($)
616	with MCC	23,237.32	+10,510.10
617	with CC	12,727.22	—
618	without CC/MCC	9,430.72	−3,296.50

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 617 at a hospital

Paid per case, by state

MS‑DRG 617 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$20,998	210	14	1.2×
Nebraska	$20,221	22	2	5.7×
New York	$19,177	162	11	7.1×
California	$18,675	397	24	6.5×
New Mexico	$17,286	12	1	3.0×
Oregon	$16,927	39	3	3.2×
Massachusetts	$16,911	123	8	3.2×
Rhode Island	$16,493	13	1	3.5×
Connecticut	$16,421	64	4	5.1×
Alaska	$16,135	21	1	5.7×
New Hampshire	$15,950	60	4	4.8×
Nevada	$15,914	48	2	6.5×
Utah	$15,802	14	1	2.9×
Delaware	$15,609	36	2	4.8×
New Jersey	$15,143	152	9	9.1×
Idaho	$15,036	38	3	4.4×
South Dakota	$14,620	37	2	5.8×
Minnesota	$14,287	138	9	3.7×
Kansas	$14,174	73	4	6.0×
Washington	$14,170	78	5	5.4×
Florida	$13,924	256	17	8.2×
Georgia	$13,900	72	5	7.0×
Arizona	$13,872	88	5	5.6×
Pennsylvania	$13,869	344	21	7.2×
Montana	$13,755	12	1	3.5×
North Carolina	$13,341	283	18	4.7×
Ohio	$13,330	101	8	6.2×
Virginia	$12,971	214	14	4.8×
West Virginia	$12,958	28	2	6.2×
Maine	$12,912	15	1	4.1×
Texas	$12,844	281	16	8.3×
Indiana	$12,748	61	4	6.0×
South Carolina	$12,676	105	7	6.5×
Illinois	$12,670	177	12	5.4×
Michigan	$12,605	142	8	4.1×
Missouri	$12,486	103	8	5.0×
Louisiana	$12,214	34	2	6.2×
Colorado	$12,050	11	1	5.5×
Tennessee	$11,870	53	3	4.4×
Oklahoma	$11,845	45	3	6.5×
Iowa	$11,841	14	1	4.1×
Wisconsin	$11,390	44	2	4.5×
Kentucky	$10,778	115	6	6.3×
Arkansas	$10,664	11	1	4.8×
Mississippi	$10,494	57	4	5.2×
Alabama	$10,422	31	2	11.9×
Vermont	$7,412	32	2	9.3×
United States	$14,568	4,466	284	5.8×

* 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 617.

10th percentile	$10,973
25th percentile	$12,078
Median hospital	$13,694
75th percentile	$16,323
90th percentile	$19,521

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

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 617 in 2024?

An average of $14,568 per discharge across 4,466 fee-for-service discharges at 284 hospitals, $65.1M in total.

Which state paid the most for MS‑DRG 617?

Nebraska, at $20,221 per case; Vermont paid the least, $7,412.

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.