MS‑DRG 871: Septicemia or Severe Sepsis without MV >96 Hours with MCC

What Medicare paid hospitals for MS‑DRG 871 in 2024: nationally, state by state and across hospitals.

Paid per case$15,5241.0× the all-DRG average

Discharges577,11911.65% of all Medicare discharges

Total paid$9.0BLargest MS‑DRG by spending

Hospitals2,661in 50 states and DC

Charges ÷ paid5.8×$90,381 average charge

Relative weight1.9320FY2027, 4.8-day geometric mean stay; FY2026 1.9425 (−0.5%)

In 2024 Medicare paid hospitals an average of $15,524 per discharge for MS‑DRG 871, across 577,119 fee-for-service discharges at 2,661 hospitals: 11.65% of all Medicare inpatient discharges and $9.0B in total, the largest MS‑DRG by Medicare spending.

By state, the average ran from $9,664 in Vermont to $22,599 in Alaska. Across hospitals, half were paid between $12,587 and $16,770 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 $90,381 on average for these stays, 5.8 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 871 on the interactive map Price an MS‑DRG 871 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 871, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.9425	1.9320	−0.5%
Geometric mean stay (days)	4.8	4.8	0.0
Average stay (days)	6.4	6.3	−0.1

Not capped: the −0.5% 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)

$14,273.52

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 871
MS‑DRG	Severity	Payment ($)	Step ($)
871	with MCC	14,273.52	—
872	without MCC	7,436.71	−6,836.81

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 871 at a hospital

Paid per case, by state

MS‑DRG 871 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$22,739	14,696	42	1.2×
Alaska	$22,599	1,442	8	5.3×
California	$20,212	71,060	261	7.1×
New York	$20,065	40,824	122	5.8×
Wyoming	$19,722	829	9	2.7×
Hawaii	$19,000	1,722	11	3.6×
District of Columbia	$18,589	1,461	6	6.0×
Connecticut	$17,905	7,081	25	3.9×
Oregon	$17,087	4,533	31	3.5×
Massachusetts	$16,936	16,108	50	2.7×
New Jersey	$16,433	18,670	61	8.0×
Nevada	$15,933	5,276	20	11.7×
Maine	$15,900	1,525	17	3.6×
Delaware	$15,542	2,564	6	3.8×
Rhode Island	$15,532	1,237	9	3.6×
Washington	$15,287	10,226	44	5.2×
Minnesota	$15,283	7,342	45	3.9×
New Mexico	$15,085	3,188	21	4.4×
Arizona	$14,898	11,083	51	5.9×
South Dakota	$14,869	1,761	10	4.5×
New Hampshire	$14,722	2,559	13	4.2×
Illinois	$14,410	23,221	107	5.1×
Texas	$14,342	41,514	200	7.8×
Colorado	$14,316	6,492	44	7.9×
Michigan	$14,279	13,620	80	3.8×
Idaho	$14,267	2,208	12	4.6×
Pennsylvania	$14,207	23,264	117	6.2×
Montana	$14,176	1,891	10	3.0×
Georgia	$14,093	16,014	76	6.1×
North Dakota	$13,888	1,608	7	3.6×
Wisconsin	$13,771	7,778	61	4.3×
North Carolina	$13,731	14,182	76	4.2×
Missouri	$13,617	11,126	61	5.4×
Utah	$13,561	3,577	29	4.4×
Florida	$13,473	46,590	163	8.4×
Nebraska	$13,467	3,628	19	4.3×
Indiana	$13,294	11,894	69	4.8×
Kansas	$13,263	6,218	35	6.4×
Virginia	$13,256	18,991	69	4.9×
South Carolina	$13,174	9,623	47	5.8×
Oklahoma	$13,109	9,012	47	5.4×
Ohio	$12,946	17,642	107	5.0×
Iowa	$12,633	5,143	28	4.0×
West Virginia	$12,596	3,893	21	4.9×
Kentucky	$12,562	8,861	55	5.1×
Louisiana	$12,481	7,387	51	5.5×
Tennessee	$12,448	13,989	70	5.7×
Arkansas	$12,365	6,804	37	4.6×
Mississippi	$12,329	7,801	44	5.2×
Alabama	$12,098	6,955	51	6.7×
Vermont	$9,664	1,006	6	4.9×
United States	$15,524	577,119	2,661	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 871.

10th percentile	$11,535
25th percentile	$12,587
Median hospital	$14,100
75th percentile	$16,770
90th percentile	$19,999

Related analysis

FY2027 inpatient rates: what changed on October 1 for payers pricing DRG claims · FY/CY updates
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
Inpatient cost outliers, worked through one sample claim · Inpatient DRG
Which year’s rates apply? Discharge dates, the October 1 line and grouper versions · How-to
Why a Medicare Advantage plan owes an out-of-network hospital less than Original Medicare · Medicare Advantage
Reference-based pricing at a percent of Medicare: how a TPA computes the number · Reference-based pricing
A discount is not a price: who wrote the number it starts from? · Reference-based pricing
Same city, same wage index: why Medicare pays five San Antonio hospitals $15,041 to $41,619 for one sepsis stay · Inpatient DRG
Repricing an 837I: what the claim file carries and what pricing still needs · How-to
Medicaid APR-DRG in New York, Texas and Colorado: one septicemia stay, three prices · Medicaid

The same condition at other severities

870Septicemia or Severe Sepsis with MV >96 Hours · $58,778
872Septicemia or Severe Sepsis without MV >96 Hours without MCC · $7,681

Nearby MS‑DRG numbers

880Acute Adjustment Reaction and Psychosocial Dysfunction

Questions

What did Medicare pay for MS‑DRG 871 in 2024?

An average of $15,524 per discharge across 577,119 fee-for-service discharges at 2,661 hospitals, $9.0B in total.

Which state paid the most for MS‑DRG 871?

Alaska, at $22,599 per case; Vermont paid the least, $9,664.

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.