MS‑DRG 698: Other Kidney and Urinary Tract Diagnoses with MCC

What Medicare paid hospitals for MS‑DRG 698 in 2024: nationally, state by state and across hospitals.

Paid per case$13,0770.9× the all-DRG average

Discharges74,1881.50% of all Medicare discharges

Total paid$970.1M14th largest MS‑DRG by spending

Hospitals1,795in 50 states and DC

Charges ÷ paid5.7×$74,649 average charge

Relative weight1.6398FY2027, 4.7-day geometric mean stay; FY2026 1.6544 (−0.9%)

In 2024 Medicare paid hospitals an average of $13,077 per discharge for MS‑DRG 698, across 74,188 fee-for-service discharges at 1,795 hospitals: 1.50% of all Medicare inpatient discharges and $970.1M in total, the 14th largest MS‑DRG by Medicare spending.

By state, the average ran from $5,936 in Vermont to $17,670 in Alaska. Across hospitals, half were paid between $10,626 and $14,043 per case, and the median hospital $11,856; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $74,649 on average for these stays, 5.7 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 698 on the interactive map Price an MS‑DRG 698 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 698, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.6544	1.6398	−0.9%
Geometric mean stay (days)	4.8	4.7	−0.1
Average stay (days)	6.1	6.0	−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)

$12,114.76

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 698
MS‑DRG	Severity	Payment ($)	Step ($)
698	with MCC	12,114.76	—
699	with CC	7,390.17	−4,724.59
700	without CC/MCC	4,980.22	−7,134.54

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 698 at a hospital

Paid per case, by state

MS‑DRG 698 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$20,026	1,676	36	1.2×
Alaska	$17,670	93	3	5.7×
California	$17,060	8,247	179	7.0×
Hawaii	$16,703	114	5	3.9×
New York	$16,480	5,019	99	6.0×
Wyoming	$16,020	66	2	2.9×
District of Columbia	$15,404	257	4	6.5×
Connecticut	$14,932	849	21	3.8×
Massachusetts	$14,439	2,564	46	2.7×
Oregon	$14,125	490	20	3.3×
New Jersey	$13,611	3,001	51	8.1×
Rhode Island	$13,411	174	5	3.4×
Nevada	$13,385	705	17	11.7×
Minnesota	$13,335	1,072	27	3.7×
Washington	$12,804	1,442	39	4.9×
Delaware	$12,637	229	6	3.9×
New Mexico	$12,409	288	8	4.5×
New Hampshire	$12,348	363	12	3.8×
Texas	$12,330	5,812	136	7.1×
Arizona	$12,303	1,388	33	5.6×
Georgia	$12,266	2,045	56	5.5×
South Dakota	$12,195	169	4	4.4×
Pennsylvania	$12,186	3,014	82	6.2×
Montana	$12,176	205	8	2.8×
Colorado	$12,138	872	29	9.1×
Illinois	$12,019	3,517	78	4.8×
Maine	$11,964	171	6	4.0×
Wisconsin	$11,874	1,130	36	4.0×
Michigan	$11,838	1,830	50	3.9×
Missouri	$11,829	1,281	39	5.3×
Utah	$11,818	301	10	4.1×
North Carolina	$11,818	1,936	53	3.8×
North Dakota	$11,592	236	6	3.3×
Florida	$11,571	6,799	135	7.7×
South Carolina	$11,423	1,224	35	5.3×
Virginia	$11,401	2,335	49	4.7×
Oklahoma	$11,389	1,047	23	5.5×
Nebraska	$11,351	413	13	4.1×
Idaho	$11,171	211	8	5.2×
Indiana	$11,102	1,531	42	4.8×
Ohio	$11,041	2,651	73	4.6×
West Virginia	$10,659	479	12	4.9×
Tennessee	$10,638	1,648	40	6.0×
Kansas	$10,603	647	17	7.3×
Mississippi	$10,601	743	20	4.7×
Iowa	$10,585	579	20	3.9×
Arkansas	$10,556	767	20	4.3×
Kentucky	$10,450	889	26	4.8×
Louisiana	$10,392	887	25	5.8×
Alabama	$10,324	678	27	6.3×
Vermont	$5,936	104	4	6.4×
United States	$13,077	74,188	1,795	5.7×

* 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 698.

10th percentile	$9,738
25th percentile	$10,626
Median hospital	$11,856
75th percentile	$14,043
90th percentile	$16,727

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

699Other Kidney and Urinary Tract Diagnoses with CC · $8,251

Nearby MS‑DRG numbers

808Major Hematological and Immunological Diagnoses except Sickle Cell Crisis and Coagulation Disorders with MCC

Questions

What did Medicare pay for MS‑DRG 698 in 2024?

An average of $13,077 per discharge across 74,188 fee-for-service discharges at 1,795 hospitals, $970.1M in total.

Which state paid the most for MS‑DRG 698?

Alaska, at $17,670 per case; Vermont paid the least, $5,936.

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.