MS‑DRG 689: Kidney and Urinary Tract Infections with MCC

What Medicare paid hospitals for MS‑DRG 689 in 2024: nationally, state by state and across hospitals.

Paid per case$8,8380.6× the all-DRG average

Discharges79,7401.61% of all Medicare discharges

Total paid$704.8M24th largest MS‑DRG by spending

Hospitals1,945in 50 states and DC

Charges ÷ paid5.9×$52,052 average charge

Relative weight1.1415FY2027, 3.7-day geometric mean stay; FY2026 1.1603 (−1.6%)

In 2024 Medicare paid hospitals an average of $8,838 per discharge for MS‑DRG 689, across 79,740 fee-for-service discharges at 1,945 hospitals: 1.61% of all Medicare inpatient discharges and $704.8M in total, the 24th largest MS‑DRG by Medicare spending.

By state, the average ran from $4,205 in Vermont to $12,068 in Alaska. Across hospitals, half were paid between $7,334 and $9,673 per case, and the median hospital $8,217; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $52,052 on average for these stays, 5.9 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 689 on the interactive map Price an MS‑DRG 689 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 689, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.1603	1.1415	−1.6%
Geometric mean stay (days)	3.8	3.7	−0.1
Average stay (days)	4.9	4.8	−0.1

Not capped: the −1.6% 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)

$8,433.34

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 689
MS‑DRG	Severity	Payment ($)	Step ($)
689	with MCC	8,433.34	—
690	without MCC	5,917.75	−2,515.59

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 689 at a hospital

Paid per case, by state

MS‑DRG 689 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$13,768	1,397	36	1.2×
Alaska	$12,068	63	3	6.8×
Hawaii	$12,023	125	5	3.8×
New York	$11,580	5,546	97	6.7×
California	$11,300	6,954	178	7.2×
Wyoming	$10,853	108	4	3.3×
Connecticut	$10,625	1,121	23	4.1×
Oregon	$10,037	398	17	3.5×
District of Columbia	$9,890	177	4	6.1×
New Jersey	$9,548	3,809	54	9.2×
Massachusetts	$9,375	2,973	47	2.7×
Rhode Island	$9,340	190	7	3.6×
Minnesota	$9,186	571	23	4.2×
Nevada	$9,146	564	16	11.3×
Washington	$9,134	1,132	37	5.6×
Maine	$8,899	153	5	5.0×
Texas	$8,741	5,846	146	6.6×
Georgia	$8,690	2,415	61	5.5×
New Mexico	$8,684	243	11	5.2×
South Dakota	$8,628	164	4	5.4×
Delaware	$8,619	492	4	4.2×
Arizona	$8,466	1,156	38	6.1×
Utah	$8,441	217	9	4.0×
New Hampshire	$8,328	402	11	4.8×
Idaho	$8,254	177	8	4.9×
North Carolina	$8,196	2,685	66	4.1×
Illinois	$8,149	3,495	78	4.9×
Florida	$8,127	8,348	156	7.7×
Pennsylvania	$8,127	3,154	88	6.5×
Michigan	$8,123	1,913	48	3.8×
Nebraska	$8,015	278	12	4.4×
Colorado	$7,922	445	22	8.6×
Wisconsin	$7,920	722	30	4.8×
South Carolina	$7,879	1,429	38	5.4×
Missouri	$7,763	1,689	45	5.4×
Oklahoma	$7,714	1,370	33	5.4×
Virginia	$7,705	2,475	53	4.6×
Montana	$7,703	144	6	3.2×
North Dakota	$7,694	178	6	3.5×
Indiana	$7,672	1,881	53	4.8×
Ohio	$7,668	2,996	86	4.6×
Tennessee	$7,362	1,776	49	6.0×
Kansas	$7,325	595	20	6.7×
Iowa	$7,325	602	21	4.7×
Mississippi	$7,216	1,284	31	5.3×
West Virginia	$7,140	714	17	4.6×
Arkansas	$7,091	1,098	26	4.5×
Alabama	$7,075	1,417	41	6.5×
Kentucky	$7,005	1,330	35	5.2×
Louisiana	$6,953	1,250	34	5.4×
Vermont	$4,205	79	3	9.9×
United States	$8,838	79,740	1,945	5.9×

* 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 689.

10th percentile	$6,722
25th percentile	$7,334
Median hospital	$8,217
75th percentile	$9,673
90th percentile	$11,411

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

690Kidney and Urinary Tract Infections without MCC · $5,986

Questions

What did Medicare pay for MS‑DRG 689 in 2024?

An average of $8,838 per discharge across 79,740 fee-for-service discharges at 1,945 hospitals, $704.8M in total.

Which state paid the most for MS‑DRG 689?

Alaska, at $12,068 per case; Vermont paid the least, $4,205.

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.