MS‑DRG 683: Renal Failure with CC

What Medicare paid hospitals for MS‑DRG 683 in 2024: nationally, state by state and across hospitals.

Paid per case$6,6300.4× the all-DRG average

Discharges78,1781.58% of all Medicare discharges

Total paid$518.3M37th largest MS‑DRG by spending

Hospitals2,018in 50 states and DC

Charges ÷ paid6.2×$41,156 average charge

Relative weight0.8647FY2027, 2.9-day geometric mean stay; FY2026 0.8758 (−1.3%)

In 2024 Medicare paid hospitals an average of $6,630 per discharge for MS‑DRG 683, across 78,178 fee-for-service discharges at 2,018 hospitals: 1.58% of all Medicare inpatient discharges and $518.3M in total, the 37th largest MS‑DRG by Medicare spending.

By state, the average ran from $5,187 in West Virginia to $9,229 in Alaska. Across hospitals, half were paid between $5,509 and $7,288 per case, and the median hospital $6,210; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $41,156 on average for these stays, 6.2 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 683 on the interactive map Price an MS‑DRG 683 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 683, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	0.8758	0.8647	−1.3%
Geometric mean stay (days)	3.0	2.9	−0.1
Average stay (days)	3.7	3.7	0.0

Not capped: the −1.3% 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)

$6,388.36

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 683
MS‑DRG	Severity	Payment ($)	Step ($)
682	with MCC	10,827.78	+4,439.42
683	with CC	6,388.36	—
684	without CC/MCC	4,434.99	−1,953.37

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 683 at a hospital

Paid per case, by state

MS‑DRG 683 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$10,979	1,964	40	1.3×
Alaska	$9,229	149	6	6.4×
California	$8,768	6,276	176	8.2×
New York	$8,434	4,060	98	6.6×
Connecticut	$7,811	964	22	4.6×
Wyoming	$7,593	128	3	3.4×
District of Columbia	$7,559	198	5	6.8×
Oregon	$7,428	530	19	4.0×
Hawaii	$7,401	102	4	4.7×
Massachusetts	$7,210	2,601	47	2.8×
Nevada	$7,011	631	16	11.4×
New Jersey	$6,960	2,650	52	9.8×
Texas	$6,762	5,269	136	7.4×
Rhode Island	$6,686	231	8	4.0×
Georgia	$6,679	2,448	68	5.5×
Washington	$6,644	1,309	39	5.9×
Minnesota	$6,388	868	28	4.5×
Delaware	$6,383	446	6	4.6×
North Carolina	$6,313	2,222	58	4.5×
New Mexico	$6,313	261	11	5.4×
Utah	$6,308	375	12	4.8×
New Hampshire	$6,268	376	12	5.1×
Illinois	$6,234	3,779	87	5.6×
Colorado	$6,221	685	26	9.8×
Idaho	$6,185	308	10	5.0×
Arizona	$6,167	1,502	43	7.0×
Florida	$6,164	6,429	142	8.6×
South Dakota	$6,154	247	6	5.0×
Michigan	$6,056	2,081	58	4.2×
Oklahoma	$6,033	1,441	34	5.7×
Pennsylvania	$6,017	4,042	99	7.1×
Wisconsin	$5,955	1,043	41	5.0×
Maine	$5,914	160	9	4.2×
Nebraska	$5,914	503	17	4.6×
Indiana	$5,908	2,181	55	5.1×
South Carolina	$5,893	1,644	43	6.1×
Missouri	$5,844	1,817	48	5.8×
Montana	$5,843	212	9	3.6×
Virginia	$5,834	2,392	61	5.4×
North Dakota	$5,714	241	6	3.7×
Ohio	$5,685	3,273	87	5.2×
Kansas	$5,600	777	22	7.6×
Mississippi	$5,498	1,157	28	5.7×
Tennessee	$5,452	1,946	48	6.0×
Alabama	$5,375	1,075	35	6.7×
Arkansas	$5,326	1,013	23	5.0×
Iowa	$5,321	655	22	4.8×
Louisiana	$5,290	1,394	34	5.8×
Kentucky	$5,285	1,395	37	5.7×
Vermont	$5,211	104	5	5.4×
West Virginia	$5,187	624	17	5.2×
United States	$6,630	78,178	2,018	6.2×

* 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 683.

10th percentile	$4,971
25th percentile	$5,509
Median hospital	$6,210
75th percentile	$7,288
90th percentile	$8,730

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

The same condition at other severities

682Renal Failure with MCC · $11,457

Nearby MS‑DRG numbers

674Other Kidney and Urinary Tract Procedures with CC

Questions

What did Medicare pay for MS‑DRG 683 in 2024?

An average of $6,630 per discharge across 78,178 fee-for-service discharges at 2,018 hospitals, $518.3M in total.

Which state paid the most for MS‑DRG 683?

Alaska, at $9,229 per case; West Virginia paid the least, $5,187.

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.