MS‑DRG 862: Postoperative and Post-Traumatic Infections with MCC

What Medicare paid hospitals for MS‑DRG 862 in 2024: nationally, state by state and across hospitals.

Paid per case$16,0131.1× the all-DRG average

Discharges5,0740.10% of all Medicare discharges

Total paid$81.3M153rd largest MS‑DRG by spending

Hospitals277in 48 states and DC

Charges ÷ paid5.6×$90,028 average charge

Relative weight1.7904FY2027, 4.9-day geometric mean stay; FY2026 1.8237 (−1.8%)

In 2024 Medicare paid hospitals an average of $16,013 per discharge for MS‑DRG 862, across 5,074 fee-for-service discharges at 277 hospitals: 0.10% of all Medicare inpatient discharges and $81.3M in total, the 153rd largest MS‑DRG by Medicare spending.

By state, the average ran from $8,755 in Vermont to $21,971 in Hawaii. Across hospitals, half were paid between $12,329 and $16,875 per case, and the median hospital $14,100; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $90,028 on average for these stays, 5.6 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 862 on the interactive map Price an MS‑DRG 862 claim at any hospital Every MS‑DRG

What changed in FY2027

The rates for discharges from October 1, 2026 (MS‑DRG version 44) against FY2026.

MS‑DRG 862, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.8237	1.7904	−1.8%
Geometric mean stay (days)	5.0	4.9	−0.1
Average stay (days)	6.6	6.5	−0.1

Not capped: the −1.8% 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)

$13,227.39

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.

FY2027 national base payment across the severity levels of MS‑DRG 862
MS‑DRG	Severity	Payment ($)	Step ($)
862	with MCC	13,227.39	—
863	without MCC	7,288.95	−5,938.44

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 862 at a hospital

Paid per case, by state

MS‑DRG 862 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$37,154	147	9	1.2×
Hawaii	$21,971	11	1	7.3×
California	$21,394	462	25	7.6×
New York	$20,390	324	15	7.1×
Massachusetts	$19,301	250	12	3.3×
New Hampshire	$18,718	13	1	3.8×
Connecticut	$18,550	28	2	4.2×
District of Columbia	$18,312	16	1	3.7×
Wyoming	$16,865	11	1	2.4×
Minnesota	$16,781	130	5	3.5×
New Jersey	$16,731	231	12	8.0×
Oregon	$16,638	49	3	3.7×
Alaska	$16,603	12	1	4.3×
Delaware	$15,183	21	1	3.5×
Nevada	$15,061	37	2	6.5×
Washington	$15,027	70	5	5.2×
Illinois	$14,850	216	12	4.7×
Utah	$14,783	26	1	3.5×
Pennsylvania	$14,536	205	11	7.5×
Maine	$14,484	25	1	3.4×
Wisconsin	$14,477	79	4	4.8×
South Dakota	$14,455	37	2	5.2×
Michigan	$14,394	111	7	4.0×
North Carolina	$14,330	114	6	3.6×
Oklahoma	$14,176	101	6	7.3×
Georgia	$14,003	108	7	5.7×
Virginia	$13,992	148	9	5.1×
Colorado	$13,961	68	4	5.9×
North Dakota	$13,951	28	2	2.9×
Montana	$13,936	26	2	3.7×
Arkansas	$13,816	53	3	3.8×
Rhode Island	$13,814	14	1	4.9×
Indiana	$13,592	92	5	5.0×
Kansas	$13,544	76	3	8.2×
Florida	$13,486	472	21	7.0×
Nebraska	$13,368	46	2	4.4×
Kentucky	$13,295	65	3	6.3×
Missouri	$13,236	56	3	4.2×
South Carolina	$13,098	111	6	5.1×
Arizona	$12,927	158	10	5.5×
New Mexico	$12,895	32	2	3.0×
Tennessee	$12,782	163	9	6.1×
Texas	$12,572	260	14	6.9×
Louisiana	$12,548	23	2	8.4×
Mississippi	$12,194	54	4	4.8×
Idaho	$12,002	24	2	4.2×
Ohio	$11,919	183	12	5.7×
Alabama	$11,693	69	4	5.9×
Vermont	$8,755	19	1	5.6×
United States	$16,013	5,074	277	5.6×

* 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 862.

10th percentile	$11,082
25th percentile	$12,329
Median hospital	$14,100
75th percentile	$16,875
90th percentile	$20,122

Related analysis

Transfers and the per-diem rule: when a short stay pays less than the full DRG · Inpatient DRG
DRG validation and the single-MCC claim: when one code moves the payment · Payment integrity

The same condition at other severities

863Postoperative and Post-Traumatic Infections without MCC · $8,197

Questions

What did Medicare pay for MS‑DRG 862 in 2024?

An average of $16,013 per discharge across 5,074 fee-for-service discharges at 277 hospitals, $81.3M in total.

Which state paid the most for MS‑DRG 862?

Hawaii, at $21,971 per case; Vermont paid the least, $8,755.

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.