MS‑DRG 846: Chemotherapy without Acute Leukemia as Secondary Diagnosis with MCC
What Medicare paid hospitals for MS‑DRG 846 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $27,886 per discharge for MS‑DRG 846, across 2,074 fee-for-service discharges at 81 hospitals: 0.04% of all Medicare inpatient discharges and $57.8M in total, the 184th largest MS‑DRG by Medicare spending.
By state, the average ran from $17,833 in Tennessee to $39,776 in Nebraska. Across hospitals, half were paid between $21,473 and $29,565 per case, and the median hospital $24,594; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $145,911 on average for these stays, 5.2 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 | 2.5925 | 2.5302 | −2.4% |
| Geometric mean stay (days) | 5.8 | 5.6 | −0.2 |
| Average stay (days) | 7.7 | 7.5 | −0.2 |
- Not capped: the −2.4% 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)
$18,692.99
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 ($) |
|---|---|---|---|
| 846 | with MCC | 18,692.99 | — |
| 847 | with CC | 9,966.34 | −8,726.65 |
| 848 | without CC/MCC | 5,730.09 | −12,962.90 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 846 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $40,000 | 54 | 2 | 1.2× |
| Nebraska | $39,776 | 12 | 1 | 4.6× |
| California | $39,208 | 289 | 9 | 6.0× |
| Ohio | $38,948 | 58 | 2 | 5.0× |
| Utah | $36,209 | 22 | 1 | 3.6× |
| New York | $31,987 | 114 | 4 | 5.8× |
| Oregon | $31,449 | 35 | 1 | 4.0× |
| New Jersey | $29,584 | 53 | 3 | 6.7× |
| Pennsylvania | $29,446 | 149 | 4 | 7.5× |
| Virginia | $28,624 | 11 | 1 | 3.8× |
| Massachusetts | $27,714 | 124 | 4 | 3.6× |
| New Hampshire | $26,785 | 19 | 1 | 3.5× |
| Minnesota | $26,675 | 88 | 2 | 3.5× |
| Wisconsin | $25,885 | 41 | 2 | 4.4× |
| Illinois | $25,217 | 121 | 5 | 3.7× |
| North Carolina | $25,208 | 72 | 4 | 4.4× |
| Connecticut | $24,920 | 23 | 1 | 2.6× |
| Vermont | $24,594 | 14 | 1 | 4.3× |
| Missouri | $23,710 | 58 | 1 | 5.0× |
| Kentucky | $23,593 | 27 | 2 | 4.8× |
| South Carolina | $23,433 | 28 | 1 | 4.0× |
| Oklahoma | $22,965 | 13 | 1 | 4.2× |
| Colorado | $22,907 | 33 | 1 | 6.5× |
| Kansas | $22,752 | 35 | 1 | 7.1× |
| Texas | $22,541 | 146 | 6 | 9.0× |
| Washington | $22,394 | 63 | 2 | 3.2× |
| Rhode Island | $22,310 | 13 | 1 | 3.1× |
| Arkansas | $22,058 | 42 | 1 | 4.0× |
| District of Columbia | $22,049 | 15 | 1 | 16.5× |
| Florida | $21,468 | 67 | 3 | 6.2× |
| Indiana | $21,347 | 32 | 2 | 6.2× |
| Georgia | $21,086 | 25 | 1 | 3.5× |
| South Dakota | $19,607 | 13 | 1 | 5.1× |
| Arizona | $18,391 | 52 | 2 | 4.6× |
| Iowa | $18,157 | 27 | 1 | 3.7× |
| Michigan | $18,024 | 27 | 2 | 3.2× |
| Tennessee | $17,833 | 59 | 3 | 3.8× |
| United States | $27,886 | 2,074 | 81 | 5.2× |
* 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 846.
| 10th percentile | $18,157 |
|---|---|
| 25th percentile | $21,473 |
| Median hospital | $24,594 |
| 75th percentile | $29,565 |
| 90th percentile | $35,707 |
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Nearby MS‑DRG numbers
Questions
What did Medicare pay for MS‑DRG 846 in 2024?
An average of $27,886 per discharge across 2,074 fee-for-service discharges at 81 hospitals, $57.8M in total.
Which state paid the most for MS‑DRG 846?
Nebraska, at $39,776 per case; Tennessee paid the least, $17,833.
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.