MS‑DRG 813: Coagulation Disorders
What Medicare paid hospitals for MS‑DRG 813 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $14,793 per discharge for MS‑DRG 813, across 10,079 fee-for-service discharges at 481 hospitals: 0.20% of all Medicare inpatient discharges and $149.1M in total, the 102nd largest MS‑DRG by Medicare spending.
By state, the average ran from $9,496 in Alabama to $86,679 in Alaska. Across hospitals, half were paid between $10,756 and $14,722 per case, and the median hospital $12,050; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $82,110 on average for these stays, 5.5 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 | 1.5253 | 1.5257 | +0.0% |
| Geometric mean stay (days) | 3.6 | 3.6 | 0.0 |
| Average stay (days) | 4.7 | 4.6 | −0.1 |
- Not capped: the +0.0% 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)
$11,271.80
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 inpatient rates: what else changed on October 1 · Price MS‑DRG 813 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Alaska | $86,679 | 13 | 1 | 3.3× |
| Iowa | $30,951 | 53 | 4 | 3.8× |
| Maryland* | $29,845 | 155 | 10 | 1.2× |
| Indiana | $28,049 | 204 | 10 | 3.4× |
| Missouri | $26,388 | 166 | 10 | 5.8× |
| Utah | $17,483 | 44 | 3 | 3.6× |
| California | $17,361 | 607 | 36 | 7.0× |
| New York | $16,705 | 753 | 33 | 6.5× |
| Pennsylvania | $16,600 | 605 | 24 | 7.4× |
| Colorado | $16,255 | 101 | 6 | 6.6× |
| South Carolina | $16,158 | 158 | 10 | 4.7× |
| Virginia | $16,121 | 259 | 15 | 8.0× |
| Delaware | $16,096 | 92 | 4 | 4.6× |
| Massachusetts | $15,562 | 911 | 24 | 3.0× |
| Connecticut | $14,770 | 260 | 12 | 4.1× |
| Oregon | $14,171 | 65 | 3 | 3.8× |
| South Dakota | $14,084 | 79 | 3 | 3.6× |
| Georgia | $14,026 | 180 | 12 | 6.1× |
| North Carolina | $13,965 | 167 | 9 | 4.4× |
| Louisiana | $13,843 | 53 | 4 | 6.5× |
| Rhode Island | $13,838 | 46 | 2 | 3.0× |
| Minnesota | $13,652 | 199 | 9 | 4.0× |
| Arizona | $13,036 | 194 | 10 | 4.9× |
| New Jersey | $12,996 | 706 | 31 | 7.8× |
| Nevada | $12,784 | 98 | 6 | 12.7× |
| Oklahoma | $12,649 | 96 | 5 | 5.3× |
| Texas | $12,438 | 391 | 20 | 8.2× |
| Illinois | $12,402 | 607 | 28 | 5.0× |
| Washington | $12,290 | 156 | 9 | 4.9× |
| Michigan | $12,247 | 234 | 13 | 3.9× |
| Ohio | $12,116 | 303 | 17 | 5.6× |
| Hawaii | $11,952 | 12 | 1 | 7.9× |
| New Hampshire | $11,933 | 76 | 4 | 3.7× |
| Wisconsin | $11,569 | 128 | 7 | 3.9× |
| West Virginia | $11,560 | 12 | 1 | 5.4× |
| Florida | $11,524 | 1,084 | 44 | 6.6× |
| Kansas | $11,478 | 91 | 5 | 7.7× |
| Maine | $11,455 | 16 | 1 | 3.1× |
| Idaho | $11,315 | 55 | 3 | 4.1× |
| North Dakota | $11,275 | 53 | 3 | 2.8× |
| Montana | $11,074 | 24 | 2 | 3.3× |
| Mississippi | $10,941 | 160 | 6 | 4.0× |
| Kentucky | $10,791 | 63 | 3 | 4.8× |
| New Mexico | $10,372 | 23 | 1 | 4.4× |
| Nebraska | $10,336 | 14 | 1 | 2.8× |
| Tennessee | $10,125 | 189 | 10 | 6.7× |
| Arkansas | $9,906 | 82 | 4 | 5.2× |
| Alabama | $9,496 | 42 | 2 | 5.0× |
| United States | $14,793 | 10,079 | 481 | 5.5× |
* 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 813.
| 10th percentile | $9,796 |
|---|---|
| 25th percentile | $10,756 |
| Median hospital | $12,050 |
| 75th percentile | $14,722 |
| 90th percentile | $19,079 |
More in Blood and immunological disorders
Questions
What did Medicare pay for MS‑DRG 813 in 2024?
An average of $14,793 per discharge across 10,079 fee-for-service discharges at 481 hospitals, $149.1M in total.
Which state paid the most for MS‑DRG 813?
Alaska, at $86,679 per case; Alabama paid the least, $9,496.
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.