MS‑DRG 812: Red Blood Cell Disorders without MCC
What Medicare paid hospitals for MS‑DRG 812 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $7,178 per discharge for MS‑DRG 812, across 27,448 fee-for-service discharges at 1,112 hospitals: 0.55% of all Medicare inpatient discharges and $197.0M in total, the 86th largest MS‑DRG by Medicare spending.
By state, the average ran from $5,214 in West Virginia to $9,790 in California. Across hospitals, half were paid between $5,626 and $7,539 per case, and the median hospital $6,394; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $45,522 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 | 0.9182 | 0.9234 | +0.6% |
| Geometric mean stay (days) | 2.7 | 2.8 | +0.1 |
| Average stay (days) | 3.6 | 3.6 | 0.0 |
- Not capped: the +0.6% 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)
$6,822.03
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 ($) |
|---|---|---|---|
| 811 | with MCC | 10,334.26 | +3,512.23 |
| 812 | without MCC | 6,822.03 | — |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 812 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $11,548 | 857 | 31 | 1.3× |
| California | $9,790 | 1,647 | 85 | 8.0× |
| New York | $8,823 | 1,892 | 66 | 7.1× |
| Connecticut | $8,683 | 353 | 13 | 4.5× |
| Nevada | $8,446 | 232 | 12 | 10.5× |
| Hawaii | $8,431 | 11 | 1 | 6.0× |
| Georgia | $7,907 | 1,082 | 49 | 5.3× |
| Texas | $7,719 | 1,764 | 81 | 6.3× |
| Oregon | $7,671 | 84 | 6 | 4.3× |
| District of Columbia | $7,639 | 160 | 6 | 6.2× |
| Massachusetts | $7,537 | 1,030 | 38 | 3.4× |
| Alaska | $7,461 | 17 | 1 | 5.3× |
| Vermont | $7,303 | 37 | 2 | 7.5× |
| New Jersey | $7,242 | 1,369 | 41 | 10.0× |
| Washington | $7,065 | 237 | 13 | 6.2× |
| Illinois | $7,020 | 1,521 | 61 | 5.6× |
| Maine | $7,014 | 20 | 1 | 4.8× |
| Colorado | $6,928 | 75 | 4 | 11.4× |
| Missouri | $6,928 | 570 | 22 | 5.6× |
| Rhode Island | $6,907 | 88 | 5 | 4.3× |
| Indiana | $6,703 | 549 | 22 | 5.2× |
| South Dakota | $6,637 | 73 | 3 | 5.8× |
| Florida | $6,585 | 3,092 | 107 | 8.0× |
| North Carolina | $6,511 | 1,084 | 36 | 4.8× |
| Wisconsin | $6,364 | 202 | 12 | 5.0× |
| Pennsylvania | $6,337 | 1,305 | 50 | 8.5× |
| Michigan | $6,332 | 861 | 33 | 4.7× |
| Delaware | $6,251 | 181 | 4 | 4.8× |
| Minnesota | $6,240 | 297 | 13 | 5.9× |
| South Carolina | $6,210 | 738 | 27 | 6.0× |
| Tennessee | $6,203 | 530 | 21 | 6.2× |
| Louisiana | $6,201 | 564 | 20 | 5.3× |
| Oklahoma | $6,184 | 329 | 16 | 7.3× |
| Arizona | $6,177 | 277 | 16 | 7.2× |
| Nebraska | $6,168 | 94 | 4 | 4.9× |
| New Hampshire | $6,131 | 119 | 8 | 5.8× |
| North Dakota | $5,988 | 40 | 2 | 5.2× |
| Virginia | $5,879 | 831 | 29 | 6.4× |
| Kansas | $5,869 | 240 | 10 | 9.5× |
| Mississippi | $5,863 | 340 | 15 | 4.8× |
| Alabama | $5,757 | 548 | 23 | 6.0× |
| Ohio | $5,748 | 996 | 48 | 6.3× |
| Montana | $5,736 | 27 | 2 | 4.7× |
| Arkansas | $5,630 | 272 | 12 | 4.8× |
| Iowa | $5,586 | 199 | 11 | 5.4× |
| New Mexico | $5,560 | 16 | 1 | 5.3× |
| Kentucky | $5,433 | 415 | 19 | 6.4× |
| West Virginia | $5,214 | 183 | 10 | 6.5× |
| United States | $7,178 | 27,448 | 1,112 | 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 812.
| 10th percentile | $5,094 |
|---|---|
| 25th percentile | $5,626 |
| Median hospital | $6,394 |
| 75th percentile | $7,539 |
| 90th percentile | $9,116 |
The same condition at other severities
811Red Blood Cell Disorders with MCC · $11,546
More in Blood and immunological disorders
Nearby MS‑DRG numbers
Questions
What did Medicare pay for MS‑DRG 812 in 2024?
An average of $7,178 per discharge across 27,448 fee-for-service discharges at 1,112 hospitals, $197.0M in total.
Which state paid the most for MS‑DRG 812?
California, at $9,790 per case; West Virginia paid the least, $5,214.
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.