MS‑DRG 621: O.R. Procedures for Obesity without CC/MCC
What Medicare paid hospitals for MS‑DRG 621 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $10,118 per discharge for MS‑DRG 621, across 1,084 fee-for-service discharges at 74 hospitals: 0.02% of all Medicare inpatient discharges and $11.0M in total, the 294th largest MS‑DRG by Medicare spending.
By state, the average ran from $6,337 in Idaho to $13,357 in New Jersey. Across hospitals, half were paid between $8,648 and $11,598 per case, and the median hospital $9,676; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $73,390 on average for these stays, 7.2 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 | 1.5084 | 1.5622 | +3.6% |
| Geometric mean stay (days) | 1.2 | 1.2 | 0.0 |
| Average stay (days) | 1.3 | 1.3 | 0.0 |
- Not capped: the +3.6% 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)
$11,541.46
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 ($) |
|---|---|---|---|
| 619 | with MCC | 19,199.07 | +7,657.61 |
| 620 | with CC | 11,703.99 | +162.53 |
| 621 | without CC/MCC | 11,541.46 | — |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 621 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $15,276 | 47 | 4 | 1.3× |
| New Jersey | $13,357 | 37 | 3 | 4.7× |
| California | $13,219 | 125 | 8 | 6.6× |
| New York | $13,001 | 28 | 2 | 9.2× |
| Oregon | $10,915 | 19 | 1 | 4.0× |
| Wisconsin | $10,877 | 15 | 1 | 3.3× |
| Georgia | $10,679 | 12 | 1 | 9.9× |
| Nevada | $10,503 | 25 | 2 | 7.0× |
| Massachusetts | $10,485 | 43 | 3 | 3.3× |
| South Carolina | $10,426 | 44 | 3 | 12.6× |
| Illinois | $10,377 | 40 | 3 | 5.0× |
| Ohio | $9,976 | 35 | 2 | 5.0× |
| Delaware | $9,960 | 14 | 1 | 4.8× |
| Montana | $9,874 | 11 | 1 | 4.9× |
| Washington | $9,604 | 50 | 4 | 9.9× |
| Indiana | $9,406 | 14 | 1 | 9.7× |
| Missouri | $9,401 | 39 | 3 | 4.5× |
| Tennessee | $9,393 | 19 | 1 | 8.0× |
| Texas | $9,174 | 100 | 7 | 8.8× |
| Florida | $9,071 | 40 | 3 | 16.3× |
| New Hampshire | $9,032 | 12 | 1 | 4.7× |
| Arizona | $8,863 | 15 | 1 | 11.7× |
| North Carolina | $8,780 | 31 | 2 | 5.7× |
| Mississippi | $8,678 | 14 | 1 | 3.5× |
| Louisiana | $8,645 | 11 | 1 | 12.8× |
| Arkansas | $8,319 | 85 | 3 | 5.9× |
| Colorado | $8,272 | 11 | 1 | 22.0× |
| Oklahoma | $8,112 | 25 | 2 | 7.7× |
| West Virginia | $8,029 | 17 | 1 | 10.6× |
| Pennsylvania | $7,701 | 12 | 1 | 4.2× |
| Kansas | $7,571 | 21 | 1 | 12.5× |
| Kentucky | $7,220 | 28 | 2 | 10.7× |
| Virginia | $6,840 | 13 | 1 | 6.3× |
| Utah | $6,648 | 19 | 1 | 12.8× |
| Idaho | $6,337 | 13 | 1 | 11.6× |
| United States | $10,118 | 1,084 | 74 | 7.2× |
* 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 621.
| 10th percentile | $7,587 |
|---|---|
| 25th percentile | $8,648 |
| Median hospital | $9,676 |
| 75th percentile | $11,598 |
| 90th percentile | $14,027 |
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Nearby MS‑DRG numbers
Questions
What did Medicare pay for MS‑DRG 621 in 2024?
An average of $10,118 per discharge across 1,084 fee-for-service discharges at 74 hospitals, $11.0M in total.
Which state paid the most for MS‑DRG 621?
New Jersey, at $13,357 per case; Idaho paid the least, $6,337.
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.