MS‑DRG 857: Postoperative or Post-Traumatic Infections with O.R. Procedures with CC
What Medicare paid hospitals for MS‑DRG 857 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $18,673 per discharge for MS‑DRG 857, across 2,444 fee-for-service discharges at 149 hospitals: 0.05% of all Medicare inpatient discharges and $45.6M in total, the 198th largest MS‑DRG by Medicare spending.
By state, the average ran from $13,450 in Oklahoma to $26,651 in California. Across hospitals, half were paid between $14,778 and $20,148 per case, and the median hospital $17,040; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $113,002 on average for these stays, 6.0 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 | 2.1415 | 2.1678 | +1.2% |
| Geometric mean stay (days) | 5.4 | 5.3 | −0.1 |
| Average stay (days) | 6.7 | 6.6 | −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)
$16,015.60
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 ($) |
|---|---|---|---|
| 856 | with MCC | 33,117.22 | +17,101.62 |
| 857 | with CC | 16,015.60 | — |
| 858 | without CC/MCC | 10,369.73 | −5,645.87 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 857 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $33,555 | 82 | 4 | 1.2× |
| California | $26,651 | 157 | 9 | 9.5× |
| Nebraska | $24,685 | 17 | 1 | 4.1× |
| Massachusetts | $22,152 | 89 | 4 | 4.2× |
| New York | $21,894 | 159 | 9 | 7.2× |
| New Hampshire | $21,731 | 15 | 1 | 3.3× |
| Connecticut | $21,132 | 27 | 2 | 5.5× |
| Colorado | $20,817 | 20 | 1 | 7.6× |
| Wisconsin | $20,146 | 35 | 2 | 5.1× |
| Oregon | $20,075 | 26 | 2 | 3.7× |
| Maine | $19,717 | 18 | 1 | 4.8× |
| Washington | $19,618 | 38 | 3 | 4.8× |
| Minnesota | $19,397 | 96 | 5 | 3.7× |
| Rhode Island | $19,294 | 12 | 1 | 4.0× |
| Utah | $19,033 | 13 | 1 | 2.6× |
| District of Columbia | $18,975 | 36 | 2 | 8.8× |
| Pennsylvania | $18,615 | 132 | 7 | 8.6× |
| South Carolina | $18,286 | 25 | 1 | 5.2× |
| Nevada | $18,242 | 11 | 1 | 3.7× |
| West Virginia | $18,067 | 25 | 2 | 6.3× |
| Indiana | $17,797 | 30 | 2 | 6.0× |
| Arkansas | $17,710 | 16 | 1 | 2.7× |
| Virginia | $17,451 | 71 | 4 | 4.6× |
| New Jersey | $17,296 | 57 | 4 | 7.9× |
| Illinois | $17,255 | 124 | 8 | 5.3× |
| Iowa | $17,202 | 15 | 1 | 6.6× |
| Georgia | $16,876 | 11 | 1 | 5.4× |
| Texas | $16,564 | 183 | 12 | 7.3× |
| Vermont | $16,564 | 14 | 1 | 3.7× |
| North Carolina | $16,500 | 97 | 6 | 3.8× |
| Ohio | $16,349 | 121 | 8 | 5.9× |
| Alabama | $16,232 | 22 | 1 | 6.9× |
| Arizona | $16,158 | 40 | 2 | 4.1× |
| Missouri | $15,972 | 83 | 5 | 5.5× |
| South Dakota | $15,651 | 11 | 1 | 5.7× |
| North Dakota | $15,518 | 11 | 1 | 2.4× |
| Kansas | $15,515 | 34 | 1 | 6.6× |
| Kentucky | $15,451 | 36 | 2 | 5.6× |
| Mississippi | $15,269 | 39 | 3 | 3.9× |
| Florida | $14,761 | 233 | 16 | 8.8× |
| Delaware | $14,588 | 14 | 1 | 4.5× |
| Tennessee | $14,542 | 94 | 5 | 5.9× |
| Michigan | $14,095 | 44 | 3 | 4.3× |
| Oklahoma | $13,450 | 11 | 1 | 9.4× |
| United States | $18,673 | 2,444 | 149 | 6.0× |
* 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 857.
| 10th percentile | $13,448 |
|---|---|
| 25th percentile | $14,778 |
| Median hospital | $17,040 |
| 75th percentile | $20,148 |
| 90th percentile | $22,719 |
Related analysis
The same condition at other severities
More in Infectious and parasitic diseases
871Septicemia or Severe Sepsis without MV >96 Hours with MCC872Septicemia or Severe Sepsis without MV >96 Hours without MCC853Infectious and Parasitic Diseases with O.R. Procedures with MCC870Septicemia or Severe Sepsis with MV >96 Hours854Infectious and Parasitic Diseases with O.R. Procedures with CC862Postoperative and Post-Traumatic Infections with MCC863Postoperative and Post-Traumatic Infections without MCC
Questions
What did Medicare pay for MS‑DRG 857 in 2024?
An average of $18,673 per discharge across 2,444 fee-for-service discharges at 149 hospitals, $45.6M in total.
Which state paid the most for MS‑DRG 857?
California, at $26,651 per case; Oklahoma paid the least, $13,450.
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.