MS‑DRG 808: Major Hematological and Immunological Diagnoses except Sickle Cell Crisis and Coagulation Disorders with MCC
What Medicare paid hospitals for MS‑DRG 808 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $22,237 per discharge for MS‑DRG 808, across 2,337 fee-for-service discharges at 144 hospitals: 0.05% of all Medicare inpatient discharges and $52.0M in total, the 191st largest MS‑DRG by Medicare spending.
By state, the average ran from $12,719 in Louisiana to $33,761 in California. Across hospitals, half were paid between $15,560 and $24,442 per case, and the median hospital $18,229; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $139,548 on average for these stays, 6.3 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.
What changed in FY2027
The rates for discharges from October 1, 2026 (MS‑DRG version 44) against FY2026.
| FY2026 | FY2027 | Change | |
|---|---|---|---|
| Relative weight | 2.2079 | 2.1705 | −1.7% |
| Geometric mean stay (days) | 5.2 | 5.1 | −0.1 |
| Average stay (days) | 7.1 | 7.0 | −0.1 |
- Not capped: the −1.7% 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)
$16,035.55
The FY2027 weight times the operating standardized amount and the capital rate ($6,848.00 + $539.95) at a wage index of 1.0. No IME, DSH, outlier or other hospital-specific adjustment, so it is not what any hospital is paid; price it at a hospital for that.
| MS‑DRG | Severity | Payment ($) | Step ($) |
|---|---|---|---|
| 808 | with MCC | 16,035.55 | — |
| 809 | with CC | 9,059.10 | −6,976.45 |
| 810 | without CC/MCC | 7,942.05 | −8,093.50 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 808 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $54,031 | 45 | 3 | 1.2× |
| California | $33,761 | 133 | 9 | 7.9× |
| New York | $28,440 | 179 | 9 | 7.5× |
| Minnesota | $27,281 | 48 | 2 | 4.9× |
| Maine | $26,503 | 15 | 1 | 6.1× |
| Oregon | $26,341 | 28 | 2 | 5.0× |
| Massachusetts | $26,280 | 158 | 9 | 3.4× |
| Pennsylvania | $24,534 | 113 | 7 | 9.3× |
| Wisconsin | $24,354 | 39 | 2 | 4.9× |
| Utah | $24,220 | 11 | 1 | 3.6× |
| Tennessee | $24,173 | 86 | 5 | 8.9× |
| Connecticut | $23,657 | 20 | 1 | 3.2× |
| Illinois | $21,378 | 122 | 8 | 5.4× |
| New Jersey | $21,230 | 126 | 8 | 6.9× |
| Iowa | $21,095 | 17 | 1 | 4.8× |
| Ohio | $20,888 | 55 | 3 | 5.7× |
| Washington | $20,329 | 24 | 2 | 3.5× |
| Kansas | $19,871 | 55 | 2 | 8.4× |
| Oklahoma | $19,810 | 24 | 2 | 7.3× |
| Arizona | $19,726 | 36 | 1 | 3.8× |
| Mississippi | $18,828 | 34 | 3 | 4.5× |
| Georgia | $18,420 | 72 | 5 | 6.4× |
| Virginia | $18,281 | 57 | 4 | 4.9× |
| Texas | $17,848 | 214 | 11 | 9.9× |
| North Carolina | $17,761 | 73 | 6 | 5.0× |
| Delaware | $17,732 | 16 | 1 | 2.7× |
| Nevada | $17,656 | 27 | 2 | 6.5× |
| Missouri | $17,597 | 55 | 3 | 5.2× |
| Michigan | $17,130 | 26 | 2 | 5.0× |
| South Carolina | $16,905 | 41 | 3 | 7.0× |
| Montana | $16,824 | 13 | 1 | 2.4× |
| Florida | $16,692 | 240 | 16 | 6.6× |
| Indiana | $16,278 | 56 | 3 | 4.9× |
| North Dakota | $15,829 | 22 | 2 | 5.0× |
| Arkansas | $15,223 | 16 | 1 | 5.0× |
| Kentucky | $13,415 | 12 | 1 | 5.3× |
| Vermont | $13,348 | 18 | 1 | 4.4× |
| Louisiana | $12,719 | 11 | 1 | 4.3× |
| United States | $22,237 | 2,337 | 144 | 6.3× |
* 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 808.
| 10th percentile | $14,202 |
|---|---|
| 25th percentile | $15,560 |
| Median hospital | $18,229 |
| 75th percentile | $24,442 |
| 90th percentile | $32,532 |
Related analysis
- DRG validation and the single-MCC claim: when one code moves the payment · Payment integrity
The same condition at other severities
More in Blood and immunological disorders
Questions
What did Medicare pay for MS‑DRG 808 in 2024?
An average of $22,237 per discharge across 2,337 fee-for-service discharges at 144 hospitals, $52.0M in total.
Which state paid the most for MS‑DRG 808?
California, at $33,761 per case; Louisiana paid the least, $12,719.
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.