MS‑DRG 840: Lymphoma and Non-Acute Leukemia with MCC
What Medicare paid hospitals for MS‑DRG 840 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $33,609 per discharge for MS‑DRG 840, across 3,774 fee-for-service discharges at 171 hospitals: 0.08% of all Medicare inpatient discharges and $126.8M in total, the 109th largest MS‑DRG by Medicare spending.
By state, the average ran from $19,830 in Vermont to $50,300 in California. Across hospitals, half were paid between $22,742 and $34,110 per case, and the median hospital $27,741; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $204,274 on average for these stays, 6.1 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 | 3.2349 | 3.2734 | +1.2% |
| Geometric mean stay (days) | 6.8 | 6.7 | −0.1 |
| Average stay (days) | 9.7 | 9.6 | −0.1 |
- Not capped: the +1.2% 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)
$24,183.72
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 ($) |
|---|---|---|---|
| 840 | with MCC | 24,183.72 | — |
| 841 | with CC | 11,652.27 | −12,531.45 |
| 842 | without CC/MCC | 7,353.23 | −16,830.49 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 840 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $86,738 | 66 | 2 | 1.1× |
| California | $50,300 | 371 | 14 | 7.1× |
| Utah | $41,623 | 25 | 1 | 3.4× |
| Missouri | $41,076 | 71 | 1 | 6.1× |
| New York | $39,256 | 428 | 14 | 7.5× |
| Massachusetts | $38,761 | 282 | 11 | 3.8× |
| New Hampshire | $37,030 | 24 | 1 | 3.8× |
| Georgia | $36,689 | 73 | 3 | 6.3× |
| Michigan | $34,231 | 79 | 4 | 4.0× |
| Minnesota | $33,949 | 100 | 3 | 4.2× |
| Connecticut | $32,759 | 50 | 2 | 4.3× |
| Washington | $32,346 | 54 | 3 | 5.0× |
| North Carolina | $31,225 | 129 | 7 | 4.9× |
| Virginia | $31,014 | 82 | 5 | 4.7× |
| Arkansas | $29,767 | 38 | 1 | 5.0× |
| Pennsylvania | $29,628 | 227 | 11 | 8.4× |
| Colorado | $29,552 | 71 | 3 | 12.1× |
| New Jersey | $29,543 | 149 | 8 | 6.8× |
| Wisconsin | $29,451 | 46 | 2 | 4.9× |
| Delaware | $29,209 | 25 | 1 | 4.8× |
| Oregon | $28,822 | 37 | 3 | 2.9× |
| Illinois | $28,319 | 186 | 9 | 5.1× |
| Texas | $26,348 | 192 | 7 | 10.3× |
| Arizona | $26,050 | 69 | 3 | 4.4× |
| Ohio | $25,809 | 141 | 7 | 5.5× |
| North Dakota | $25,454 | 11 | 1 | 4.2× |
| Kansas | $25,046 | 59 | 2 | 7.9× |
| Tennessee | $24,977 | 124 | 7 | 7.8× |
| Nebraska | $24,434 | 35 | 3 | 4.2× |
| West Virginia | $24,359 | 17 | 1 | 3.7× |
| Iowa | $23,946 | 31 | 2 | 5.5× |
| Florida | $23,468 | 182 | 9 | 6.9× |
| South Carolina | $23,268 | 68 | 5 | 4.5× |
| Indiana | $23,229 | 49 | 3 | 4.9× |
| Kentucky | $23,058 | 37 | 2 | 4.8× |
| South Dakota | $22,579 | 24 | 2 | 5.7× |
| Alabama | $22,436 | 30 | 2 | 6.6× |
| Montana | $21,954 | 11 | 1 | 2.0× |
| Oklahoma | $21,626 | 54 | 3 | 6.9× |
| New Mexico | $19,917 | 14 | 1 | 4.5× |
| Vermont | $19,830 | 13 | 1 | 7.1× |
| United States | $33,609 | 3,774 | 171 | 6.1× |
* 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 840.
| 10th percentile | $19,987 |
|---|---|
| 25th percentile | $22,742 |
| Median hospital | $27,741 |
| 75th percentile | $34,110 |
| 90th percentile | $41,942 |
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Questions
What did Medicare pay for MS‑DRG 840 in 2024?
An average of $33,609 per discharge across 3,774 fee-for-service discharges at 171 hospitals, $126.8M in total.
Which state paid the most for MS‑DRG 840?
California, at $50,300 per case; Vermont paid the least, $19,830.
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.