MS‑DRG 837: Chemotherapy with Acute Leukemia as Secondary Diagnosis or with High Dose Chemotherapy Agent with MCC
What Medicare paid hospitals for MS‑DRG 837 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $50,344 per discharge for MS‑DRG 837, across 1,063 fee-for-service discharges at 55 hospitals: 0.02% of all Medicare inpatient discharges and $53.5M in total, the 188th largest MS‑DRG by Medicare spending.
By state, the average ran from $31,229 in Alabama to $69,762 in California. Across hospitals, half were paid between $38,326 and $57,890 per case, and the median hospital $43,890; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $239,859 on average for these stays, 4.8 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 | 4.8043 | 4.7124 | −1.9% |
| Geometric mean stay (days) | 10.2 | 10.0 | −0.2 |
| Average stay (days) | 14.9 | 14.6 | −0.3 |
- Not capped: the −1.9% 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)
$34,814.98
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 837 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $92,358 | 19 | 1 | 1.2× |
| California | $69,762 | 71 | 5 | 4.3× |
| Oregon | $67,954 | 34 | 1 | 4.0× |
| Missouri | $67,191 | 29 | 1 | 4.1× |
| Massachusetts | $66,453 | 29 | 1 | 4.4× |
| North Carolina | $65,825 | 42 | 2 | 3.9× |
| Colorado | $59,122 | 29 | 2 | 10.9× |
| New York | $58,484 | 71 | 4 | 4.8× |
| New Jersey | $57,090 | 11 | 1 | 7.8× |
| Pennsylvania | $51,742 | 67 | 2 | 6.8× |
| Michigan | $51,724 | 43 | 3 | 2.5× |
| Illinois | $50,058 | 76 | 3 | 3.0× |
| Connecticut | $49,898 | 17 | 1 | 2.5× |
| Minnesota | $49,399 | 59 | 2 | 2.4× |
| Iowa | $47,825 | 17 | 1 | 3.8× |
| Washington | $45,267 | 47 | 1 | 2.2× |
| Kansas | $43,890 | 15 | 1 | 5.5× |
| South Carolina | $43,070 | 14 | 1 | 2.7× |
| Georgia | $42,583 | 12 | 1 | 2.6× |
| Florida | $41,862 | 41 | 2 | 3.5× |
| Wisconsin | $40,358 | 36 | 2 | 2.8× |
| Virginia | $39,328 | 18 | 1 | 4.7× |
| Arizona | $38,880 | 16 | 1 | 4.8× |
| Kentucky | $38,408 | 11 | 1 | 5.3× |
| Oklahoma | $37,897 | 17 | 1 | 7.6× |
| Texas | $36,822 | 138 | 7 | 10.2× |
| Tennessee | $33,229 | 55 | 4 | 4.5× |
| Indiana | $32,142 | 12 | 1 | 4.6× |
| Alabama | $31,229 | 17 | 1 | 4.2× |
| United States | $50,344 | 1,063 | 55 | 4.8× |
* 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 837.
| 10th percentile | $31,967 |
|---|---|
| 25th percentile | $38,326 |
| Median hospital | $43,890 |
| 75th percentile | $57,890 |
| 90th percentile | $71,310 |
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Nearby MS‑DRG numbers
Questions
What did Medicare pay for MS‑DRG 837 in 2024?
An average of $50,344 per discharge across 1,063 fee-for-service discharges at 55 hospitals, $53.5M in total.
Which state paid the most for MS‑DRG 837?
California, at $69,762 per case; Alabama paid the least, $31,229.
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.