MS‑DRG 847: Chemotherapy without Acute Leukemia as Secondary Diagnosis with CC
What Medicare paid hospitals for MS‑DRG 847 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $12,159 per discharge for MS‑DRG 847, across 6,635 fee-for-service discharges at 202 hospitals: 0.13% of all Medicare inpatient discharges and $80.7M in total, the 154th largest MS‑DRG by Medicare spending.
By state, the average ran from $6,082 in Vermont to $15,769 in California. Across hospitals, half were paid between $9,180 and $13,016 per case, and the median hospital $10,926; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $70,106 on average for these stays, 5.8 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 | 1.3082 | 1.3490 | +3.1% |
| Geometric mean stay (days) | 3.8 | 3.7 | −0.1 |
| Average stay (days) | 4.3 | 4.3 | 0.0 |
- Not capped: the +3.1% 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)
$9,966.34
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 | +8,726.65 |
| 847 | with CC | 9,966.34 | — |
| 848 | without CC/MCC | 5,730.09 | −4,236.25 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 847 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $18,327 | 162 | 3 | 1.2× |
| California | $15,769 | 914 | 21 | 7.1× |
| Virginia | $14,103 | 133 | 4 | 5.4× |
| West Virginia | $13,892 | 18 | 1 | 3.9× |
| New Jersey | $13,600 | 219 | 7 | 5.4× |
| Massachusetts | $13,454 | 245 | 5 | 3.4× |
| New York | $13,228 | 388 | 13 | 6.5× |
| Utah | $13,215 | 54 | 1 | 5.0× |
| North Carolina | $13,130 | 277 | 7 | 4.4× |
| Nebraska | $13,023 | 58 | 1 | 5.1× |
| Delaware | $12,584 | 23 | 1 | 5.3× |
| Georgia | $12,434 | 103 | 5 | 6.3× |
| Illinois | $12,346 | 299 | 10 | 4.7× |
| Louisiana | $12,243 | 48 | 2 | 6.0× |
| Connecticut | $12,212 | 92 | 3 | 4.0× |
| Tennessee | $11,988 | 127 | 5 | 5.9× |
| Indiana | $11,925 | 100 | 3 | 6.6× |
| Pennsylvania | $11,897 | 379 | 11 | 7.8× |
| New Hampshire | $11,783 | 35 | 1 | 3.4× |
| Arkansas | $11,772 | 97 | 3 | 4.8× |
| Mississippi | $11,720 | 44 | 1 | 5.1× |
| Rhode Island | $11,416 | 12 | 1 | 4.4× |
| Oregon | $11,319 | 82 | 4 | 5.7× |
| Missouri | $11,270 | 132 | 2 | 5.2× |
| Texas | $11,119 | 284 | 10 | 10.4× |
| Colorado | $10,818 | 133 | 4 | 6.8× |
| District of Columbia | $10,786 | 66 | 3 | 4.0× |
| New Mexico | $10,697 | 23 | 2 | 3.9× |
| Minnesota | $10,650 | 231 | 4 | 5.0× |
| Kansas | $10,305 | 42 | 1 | 9.6× |
| Alabama | $10,289 | 66 | 1 | 4.5× |
| Florida | $10,223 | 217 | 9 | 8.5× |
| South Carolina | $10,192 | 139 | 3 | 4.5× |
| Arizona | $10,147 | 176 | 5 | 4.3× |
| Maine | $10,057 | 17 | 1 | 3.5× |
| Idaho | $10,045 | 32 | 2 | 5.2× |
| Wisconsin | $9,963 | 176 | 5 | 5.3× |
| Washington | $9,945 | 157 | 5 | 4.7× |
| Ohio | $9,774 | 190 | 7 | 4.7× |
| Oklahoma | $9,581 | 77 | 3 | 6.2× |
| South Dakota | $9,561 | 43 | 2 | 5.7× |
| Alaska | $9,412 | 12 | 1 | 3.3× |
| Kentucky | $9,403 | 87 | 3 | 5.4× |
| Michigan | $9,279 | 128 | 6 | 3.9× |
| North Dakota | $8,875 | 31 | 1 | 3.6× |
| Montana | $8,760 | 25 | 2 | 3.5× |
| Nevada | $8,690 | 19 | 1 | 4.4× |
| Iowa | $8,387 | 136 | 4 | 4.9× |
| Hawaii | $7,428 | 19 | 1 | 7.5× |
| Vermont | $6,082 | 68 | 1 | 6.2× |
| United States | $12,159 | 6,635 | 202 | 5.8× |
* 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 847.
| 10th percentile | $8,011 |
|---|---|
| 25th percentile | $9,180 |
| Median hospital | $10,926 |
| 75th percentile | $13,016 |
| 90th percentile | $15,710 |
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Questions
What did Medicare pay for MS‑DRG 847 in 2024?
An average of $12,159 per discharge across 6,635 fee-for-service discharges at 202 hospitals, $80.7M in total.
Which state paid the most for MS‑DRG 847?
California, at $15,769 per case; Vermont paid the least, $6,082.
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.