MS‑DRG 699: Other Kidney and Urinary Tract Diagnoses with CC

What Medicare paid hospitals for MS‑DRG 699 in 2024: nationally, state by state and across hospitals.

Paid per case$8,2510.5× the all-DRG average

Discharges31,5640.64% of all Medicare discharges

Total paid$260.4M65th largest MS‑DRG by spending

Hospitals1,102in 50 states and DC

Charges ÷ paid6.0×$49,314 average charge

Relative weight1.0003FY2027, 3.2-day geometric mean stay; FY2026 1.0150 (−1.4%)

In 2024 Medicare paid hospitals an average of $8,251 per discharge for MS‑DRG 699, across 31,564 fee-for-service discharges at 1,102 hospitals: 0.64% of all Medicare inpatient discharges and $260.4M in total, the 65th largest MS‑DRG by Medicare spending.

By state, the average ran from $3,967 in Vermont to $10,683 in California. Across hospitals, half were paid between $6,502 and $8,632 per case, and the median hospital $7,348; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $49,314 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 699 on the interactive map Price an MS‑DRG 699 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 699, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.0150	1.0003	−1.4%
Geometric mean stay (days)	3.2	3.2	0.0
Average stay (days)	4.0	3.9	−0.1

Not capped: the −1.4% 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)

$7,390.17

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 699
MS‑DRG	Severity	Payment ($)	Step ($)
698	with MCC	12,114.76	+4,724.59
699	with CC	7,390.17	—
700	without CC/MCC	4,980.22	−2,409.95

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 699 at a hospital

Paid per case, by state

MS‑DRG 699 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$11,993	858	29	1.2×
California	$10,683	2,847	104	7.3×
New York	$10,136	2,156	60	7.0×
Connecticut	$9,622	330	12	4.3×
Hawaii	$9,191	28	1	4.3×
Oregon	$9,145	137	7	4.4×
Texas	$9,111	2,429	82	6.5×
Wyoming	$9,068	32	2	3.2×
District of Columbia	$8,833	155	4	8.2×
Delaware	$8,827	144	4	4.3×
Massachusetts	$8,824	1,251	36	2.9×
Alaska	$8,629	20	1	8.1×
Nevada	$8,437	430	15	10.7×
New Jersey	$8,261	1,436	42	8.7×
Rhode Island	$8,188	91	3	3.4×
Georgia	$8,142	801	34	5.0×
Utah	$8,076	126	5	4.5×
New Mexico	$7,989	75	3	3.8×
Minnesota	$7,942	419	15	4.5×
North Carolina	$7,795	896	24	4.2×
Illinois	$7,745	1,718	54	5.0×
Nebraska	$7,603	133	5	3.9×
Washington	$7,546	462	22	5.6×
Florida	$7,512	3,531	106	7.5×
Colorado	$7,462	254	13	9.4×
Arizona	$7,442	735	26	5.6×
South Carolina	$7,417	512	21	5.5×
South Dakota	$7,414	127	3	4.9×
Pennsylvania	$7,319	1,463	60	6.7×
Michigan	$7,284	736	28	3.7×
New Hampshire	$7,270	129	7	4.0×
Oklahoma	$7,245	361	13	6.1×
Wisconsin	$7,240	405	14	5.4×
Tennessee	$7,201	600	17	6.1×
Missouri	$7,178	651	25	5.5×
Maine	$7,170	51	2	4.6×
Indiana	$7,113	547	23	5.4×
Virginia	$7,106	909	30	5.4×
Mississippi	$7,082	277	9	5.0×
Alabama	$6,892	232	9	4.7×
Idaho	$6,866	54	3	5.0×
Ohio	$6,761	1,271	53	4.8×
North Dakota	$6,670	106	5	3.3×
Kansas	$6,582	205	7	9.1×
West Virginia	$6,580	225	11	5.1×
Iowa	$6,423	194	9	4.1×
Arkansas	$6,389	233	13	4.3×
Montana	$6,342	49	4	3.0×
Louisiana	$6,193	330	9	7.0×
Kentucky	$6,121	361	16	5.5×
Vermont	$3,967	42	2	8.2×
United States	$8,251	31,564	1,102	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 699.

10th percentile	$5,882
25th percentile	$6,502
Median hospital	$7,348
75th percentile	$8,632
90th percentile	$10,294

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

698Other Kidney and Urinary Tract Diagnoses with MCC · $13,077

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 699 in 2024?

An average of $8,251 per discharge across 31,564 fee-for-service discharges at 1,102 hospitals, $260.4M in total.

Which state paid the most for MS‑DRG 699?

California, at $10,683 per case; Vermont paid the least, $3,967.

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.