MS‑DRG 854: Infectious and Parasitic Diseases with O.R. Procedures with CC
What Medicare paid hospitals for MS‑DRG 854 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $15,086 per discharge for MS‑DRG 854, across 13,459 fee-for-service discharges at 720 hospitals: 0.27% of all Medicare inpatient discharges and $203.0M in total, the 84th largest MS‑DRG by Medicare spending.
By state, the average ran from $10,419 in Vermont to $23,001 in District of Columbia. Across hospitals, half were paid between $12,614 and $16,708 per case, and the median hospital $13,994; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $100,093 on average for these stays, 6.6 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 | 1.9981 | 2.0095 | +0.6% |
| Geometric mean stay (days) | 4.9 | 4.8 | −0.1 |
| Average stay (days) | 6.2 | 6.1 | −0.1 |
- Not capped: the +0.6% 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)
$14,846.09
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 ($) |
|---|---|---|---|
| 853 | with MCC | 36,427.03 | +21,580.94 |
| 854 | with CC | 14,846.09 | — |
| 855 | without CC/MCC | 10,719.92 | −4,126.17 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 854 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| District of Columbia | $23,001 | 32 | 2 | 7.2× |
| Maryland* | $21,363 | 429 | 21 | 1.2× |
| Wyoming | $21,278 | 16 | 1 | 3.9× |
| California | $20,249 | 1,473 | 80 | 7.8× |
| Connecticut | $19,728 | 56 | 4 | 3.7× |
| Alaska | $18,897 | 47 | 2 | 6.6× |
| New York | $18,584 | 676 | 35 | 6.5× |
| Nevada | $17,961 | 84 | 4 | 14.1× |
| New Hampshire | $17,374 | 49 | 4 | 6.2× |
| Massachusetts | $17,194 | 305 | 15 | 2.6× |
| Oregon | $16,436 | 118 | 7 | 3.9× |
| New Mexico | $16,148 | 73 | 3 | 3.6× |
| New Jersey | $15,954 | 498 | 26 | 8.1× |
| Delaware | $15,553 | 60 | 3 | 4.4× |
| South Dakota | $15,305 | 53 | 3 | 4.6× |
| Hawaii | $15,073 | 32 | 1 | 6.1× |
| Washington | $15,042 | 220 | 14 | 6.4× |
| Texas | $14,949 | 1,024 | 58 | 8.6× |
| Arizona | $14,743 | 329 | 18 | 6.7× |
| Maine | $14,562 | 14 | 1 | 4.9× |
| Nebraska | $14,206 | 61 | 3 | 4.4× |
| North Dakota | $14,171 | 76 | 4 | 3.5× |
| Pennsylvania | $14,164 | 606 | 28 | 7.3× |
| Minnesota | $14,159 | 233 | 11 | 4.3× |
| Michigan | $14,053 | 339 | 20 | 4.1× |
| Colorado | $13,821 | 102 | 7 | 9.0× |
| Idaho | $13,802 | 65 | 4 | 4.7× |
| Illinois | $13,799 | 590 | 34 | 6.1× |
| Indiana | $13,798 | 288 | 16 | 5.5× |
| Montana | $13,779 | 96 | 5 | 3.5× |
| Utah | $13,723 | 56 | 3 | 4.3× |
| North Carolina | $13,619 | 294 | 17 | 5.0× |
| Florida | $13,612 | 1,031 | 52 | 11.0× |
| Georgia | $13,607 | 310 | 18 | 7.3× |
| Wisconsin | $13,371 | 134 | 7 | 4.7× |
| West Virginia | $13,305 | 115 | 6 | 6.5× |
| Oklahoma | $13,248 | 194 | 10 | 4.9× |
| Iowa | $13,086 | 199 | 11 | 4.2× |
| Virginia | $12,982 | 680 | 32 | 6.7× |
| Missouri | $12,703 | 313 | 16 | 5.4× |
| South Carolina | $12,674 | 255 | 14 | 8.2× |
| Arkansas | $12,521 | 175 | 11 | 5.2× |
| Kansas | $12,481 | 189 | 9 | 8.0× |
| Alabama | $12,076 | 120 | 7 | 7.1× |
| Louisiana | $11,990 | 202 | 11 | 6.8× |
| Ohio | $11,944 | 356 | 22 | 6.0× |
| Mississippi | $11,942 | 159 | 8 | 5.2× |
| Tennessee | $11,864 | 380 | 20 | 5.7× |
| Kentucky | $11,464 | 230 | 11 | 5.8× |
| Vermont | $10,419 | 23 | 1 | 6.3× |
| United States | $15,086 | 13,459 | 720 | 6.6× |
* 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 854.
| 10th percentile | $11,667 |
|---|---|
| 25th percentile | $12,614 |
| Median hospital | $13,994 |
| 75th percentile | $16,708 |
| 90th percentile | $19,953 |
Related analysis
The same condition at other severities
More in Infectious and parasitic diseases
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Nearby MS‑DRG numbers
Questions
What did Medicare pay for MS‑DRG 854 in 2024?
An average of $15,086 per discharge across 13,459 fee-for-service discharges at 720 hospitals, $203.0M in total.
Which state paid the most for MS‑DRG 854?
District of Columbia, at $23,001 per case; Vermont paid the least, $10,419.
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.