MS‑DRG 674: Other Kidney and Urinary Tract Procedures with CC

What Medicare paid hospitals for MS‑DRG 674 in 2024: nationally, state by state and across hospitals.

Paid per case$19,7141.3× the all-DRG average

Discharges1,4540.03% of all Medicare discharges

Total paid$28.7M236th largest MS‑DRG by spending

Hospitals99in 37 states and DC

Charges ÷ paid6.0×$119,237 average charge

Relative weight2.2504FY2027, 5.3-day geometric mean stay; FY2026 2.3386 (−3.8%)

In 2024 Medicare paid hospitals an average of $19,714 per discharge for MS‑DRG 674, across 1,454 fee-for-service discharges at 99 hospitals: 0.03% of all Medicare inpatient discharges and $28.7M in total, the 236th largest MS‑DRG by Medicare spending.

By state, the average ran from $13,702 in Kentucky to $27,237 in Massachusetts. Across hospitals, half were paid between $16,728 and $21,399 per case, and the median hospital $18,752; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $119,237 on average for these stays, 6.0 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 674 on the interactive map Price an MS‑DRG 674 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 674, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	2.3386	2.2504	−3.8%
Geometric mean stay (days)	5.5	5.3	−0.2
Average stay (days)	7.1	6.8	−0.3

Not capped: the −3.8% 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)

$16,625.84

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 674
MS‑DRG	Severity	Payment ($)	Step ($)
673	with MCC	31,417.26	+14,791.42
674	with CC	16,625.84	—
675	without CC/MCC	11,737.24	−4,888.60

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 674 at a hospital

Paid per case, by state

MS‑DRG 674 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$30,492	29	2	1.2×
Massachusetts	$27,237	38	3	2.6×
New York	$26,436	86	5	7.5×
California	$25,034	140	9	6.1×
Minnesota	$24,950	11	1	3.5×
Missouri	$23,264	19	1	4.7×
Illinois	$21,896	70	5	3.7×
North Carolina	$21,572	67	4	4.0×
Arkansas	$21,422	13	1	3.4×
District of Columbia	$20,616	27	2	4.7×
North Dakota	$19,612	11	1	3.7×
Michigan	$19,544	26	2	4.0×
Connecticut	$19,438	12	1	6.0×
Pennsylvania	$18,899	25	2	9.0×
New Jersey	$18,847	69	5	8.5×
South Carolina	$18,807	34	2	4.2×
Nebraska	$18,756	19	1	4.4×
Washington	$18,752	16	1	4.7×
Tennessee	$18,333	22	2	4.8×
Virginia	$18,332	25	2	12.8×
Nevada	$17,991	14	1	13.5×
Wisconsin	$17,659	41	3	4.9×
Arizona	$17,551	49	3	5.5×
South Dakota	$17,521	29	2	5.3×
Georgia	$17,219	36	3	6.2×
Hawaii	$17,217	11	1	5.5×
Delaware	$17,185	16	1	4.4×
Florida	$17,141	168	11	9.0×
Kansas	$16,670	12	1	13.2×
Indiana	$16,520	12	1	4.0×
Alabama	$16,427	26	2	4.0×
Ohio	$16,250	52	4	6.8×
Oklahoma	$16,098	25	2	5.2×
Texas	$16,005	129	7	7.2×
Iowa	$15,976	11	1	3.4×
Mississippi	$15,540	27	2	4.7×
Louisiana	$13,811	22	1	8.0×
Kentucky	$13,702	15	1	5.4×
United States	$19,714	1,454	99	6.0×

* 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 674.

10th percentile	$14,906
25th percentile	$16,728
Median hospital	$18,752
75th percentile	$21,399
90th percentile	$26,208

Related analysis

DRG validation and the single-MCC claim: when one code moves the payment · Payment integrity

The same condition at other severities

673Other Kidney and Urinary Tract Procedures with MCC · $33,289

Nearby MS‑DRG numbers

661Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC

Questions

What did Medicare pay for MS‑DRG 674 in 2024?

An average of $19,714 per discharge across 1,454 fee-for-service discharges at 99 hospitals, $28.7M in total.

Which state paid the most for MS‑DRG 674?

Massachusetts, at $27,237 per case; Kentucky paid the least, $13,702.

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.