MS‑DRG 841: Lymphoma and Non-Acute Leukemia with CC
What Medicare paid hospitals for MS‑DRG 841 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $15,179 per discharge for MS‑DRG 841, across 1,686 fee-for-service discharges at 100 hospitals: 0.03% of all Medicare inpatient discharges and $25.6M in total, the 243rd largest MS‑DRG by Medicare spending.
By state, the average ran from $8,990 in Alabama to $21,037 in California. Across hospitals, half were paid between $11,132 and $16,415 per case, and the median hospital $13,493; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $116,396 on average for these stays, 7.7 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 | 1.6314 | 1.5772 | −3.3% |
| Geometric mean stay (days) | 4.0 | 3.9 | −0.1 |
| Average stay (days) | 5.4 | 5.2 | −0.2 |
- Not capped: the −3.3% 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)
$11,652.27
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 | +12,531.45 |
| 841 | with CC | 11,652.27 | — |
| 842 | without CC/MCC | 7,353.23 | −4,299.04 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 841 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $26,142 | 55 | 3 | 1.2× |
| California | $21,037 | 181 | 10 | 10.5× |
| New York | $19,156 | 191 | 8 | 8.2× |
| Utah | $18,870 | 13 | 1 | 4.8× |
| Massachusetts | $17,471 | 91 | 3 | 4.6× |
| Michigan | $17,422 | 36 | 3 | 5.5× |
| Connecticut | $16,808 | 27 | 1 | 4.8× |
| Missouri | $16,745 | 49 | 2 | 6.8× |
| Delaware | $15,877 | 18 | 1 | 5.1× |
| Rhode Island | $14,592 | 11 | 1 | 3.2× |
| Kansas | $14,506 | 28 | 1 | 11.8× |
| Washington | $14,390 | 20 | 1 | 4.2× |
| Pennsylvania | $13,806 | 91 | 6 | 10.7× |
| North Carolina | $13,511 | 59 | 4 | 6.1× |
| Minnesota | $13,454 | 49 | 2 | 4.5× |
| Ohio | $13,277 | 48 | 2 | 5.8× |
| Wisconsin | $13,102 | 31 | 2 | 7.4× |
| New Jersey | $13,100 | 72 | 6 | 9.8× |
| Illinois | $12,889 | 69 | 5 | 5.9× |
| Kentucky | $12,721 | 11 | 1 | 8.0× |
| South Carolina | $12,694 | 31 | 2 | 5.1× |
| Indiana | $12,680 | 43 | 3 | 6.6× |
| Colorado | $12,429 | 40 | 3 | 13.8× |
| Georgia | $12,311 | 20 | 1 | 4.9× |
| Iowa | $12,204 | 14 | 1 | 7.8× |
| Nebraska | $11,425 | 19 | 1 | 3.9× |
| Florida | $11,351 | 140 | 9 | 9.1× |
| Arizona | $11,290 | 23 | 1 | 7.0× |
| West Virginia | $11,127 | 15 | 1 | 7.5× |
| Tennessee | $11,076 | 56 | 5 | 6.9× |
| Vermont | $11,041 | 11 | 1 | 5.8× |
| Virginia | $10,899 | 22 | 2 | 4.1× |
| Arkansas | $10,616 | 11 | 1 | 7.0× |
| Texas | $10,116 | 67 | 4 | 16.8× |
| Oklahoma | $9,409 | 11 | 1 | 5.0× |
| Alabama | $8,990 | 13 | 1 | 11.1× |
| United States | $15,179 | 1,686 | 100 | 7.7× |
* 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 841.
| 10th percentile | $9,857 |
|---|---|
| 25th percentile | $11,132 |
| Median hospital | $13,493 |
| 75th percentile | $16,415 |
| 90th percentile | $18,904 |
Related analysis
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Questions
What did Medicare pay for MS‑DRG 841 in 2024?
An average of $15,179 per discharge across 1,686 fee-for-service discharges at 100 hospitals, $25.6M in total.
Which state paid the most for MS‑DRG 841?
California, at $21,037 per case; Alabama paid the least, $8,990.
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.