MS‑DRG 658: Kidney and Ureter Procedures for Neoplasm without CC/MCC
What Medicare paid hospitals for MS‑DRG 658 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $11,165 per discharge for MS‑DRG 658, across 1,248 fee-for-service discharges at 79 hospitals: 0.03% of all Medicare inpatient discharges and $13.9M in total, the 280th largest MS‑DRG by Medicare spending.
By state, the average ran from $6,946 in Mississippi to $16,536 in California. Across hospitals, half were paid between $8,966 and $11,977 per case, and the median hospital $10,305; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $83,773 on average for these stays, 7.5 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 | 1.5518 | 1.5380 | −0.9% |
| Geometric mean stay (days) | 1.6 | 1.5 | −0.1 |
| Average stay (days) | 1.8 | 1.7 | −0.1 |
- 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)
$11,362.67
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 ($) |
|---|---|---|---|
| 656 | with MCC | 24,222.13 | +12,859.46 |
| 657 | with CC | 13,567.97 | +2,205.30 |
| 658 | without CC/MCC | 11,362.67 | — |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 658 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $22,698 | 41 | 2 | 1.3× |
| California | $16,536 | 51 | 3 | 6.4× |
| New York | $14,460 | 91 | 6 | 6.7× |
| Utah | $13,352 | 20 | 1 | 2.5× |
| Illinois | $13,165 | 25 | 2 | 9.2× |
| Massachusetts | $12,706 | 23 | 2 | 2.3× |
| Indiana | $12,473 | 15 | 1 | 6.5× |
| Iowa | $11,881 | 13 | 1 | 6.8× |
| Pennsylvania | $11,848 | 50 | 3 | 9.4× |
| Nebraska | $11,573 | 13 | 1 | 4.5× |
| Washington | $11,387 | 57 | 3 | 6.8× |
| Delaware | $11,301 | 16 | 1 | 4.0× |
| Ohio | $11,191 | 23 | 1 | 6.1× |
| Georgia | $11,038 | 28 | 2 | 4.9× |
| Michigan | $10,935 | 40 | 3 | 6.4× |
| New Jersey | $10,792 | 19 | 1 | 11.6× |
| North Carolina | $10,740 | 108 | 7 | 6.7× |
| Minnesota | $10,430 | 11 | 1 | 6.6× |
| District of Columbia | $10,348 | 15 | 1 | 7.3× |
| Oklahoma | $10,168 | 56 | 3 | 8.4× |
| South Carolina | $10,088 | 50 | 3 | 8.3× |
| Arizona | $9,935 | 29 | 2 | 15.0× |
| South Dakota | $9,852 | 13 | 1 | 6.5× |
| Wisconsin | $9,800 | 30 | 2 | 5.9× |
| Missouri | $9,559 | 42 | 3 | 5.9× |
| Florida | $9,167 | 101 | 6 | 15.5× |
| Tennessee | $9,058 | 62 | 3 | 7.9× |
| Louisiana | $8,829 | 12 | 1 | 8.3× |
| Rhode Island | $8,802 | 11 | 1 | 3.6× |
| Kansas | $8,766 | 34 | 2 | 5.7× |
| Texas | $8,645 | 75 | 4 | 8.1× |
| Kentucky | $8,384 | 12 | 1 | 10.2× |
| West Virginia | $8,226 | 23 | 2 | 9.8× |
| Virginia | $7,765 | 24 | 2 | 24.2× |
| Mississippi | $6,946 | 15 | 1 | 6.1× |
| United States | $11,165 | 1,248 | 79 | 7.5× |
* 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 658.
| 10th percentile | $7,850 |
|---|---|
| 25th percentile | $8,966 |
| Median hospital | $10,305 |
| 75th percentile | $11,977 |
| 90th percentile | $14,545 |
The same condition at other severities
More in Kidney and urinary tract
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Questions
What did Medicare pay for MS‑DRG 658 in 2024?
An average of $11,165 per discharge across 1,248 fee-for-service discharges at 79 hospitals, $13.9M in total.
Which state paid the most for MS‑DRG 658?
California, at $16,536 per case; Mississippi paid the least, $6,946.
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.