MS‑DRG 880: Acute Adjustment Reaction and Psychosocial Dysfunction
What Medicare paid hospitals for MS‑DRG 880 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $7,565 per discharge for MS‑DRG 880, across 1,036 fee-for-service discharges at 69 hospitals: 0.02% of all Medicare inpatient discharges and $7.8M in total, the 317th largest MS‑DRG by Medicare spending.
By state, the average ran from $5,736 in Kentucky to $10,541 in California. Across hospitals, half were paid between $6,453 and $8,251 per case, and the median hospital $6,897; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $47,944 on average for these stays, 6.3 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 | 0.9602 | 0.9306 | −3.1% |
| Geometric mean stay (days) | 2.8 | 2.7 | −0.1 |
| Average stay (days) | 4.2 | 3.8 | −0.4 |
- 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)
$6,875.23
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 inpatient rates: what else changed on October 1 · Price MS‑DRG 880 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| California | $10,541 | 49 | 4 | 7.7× |
| New York | $10,114 | 66 | 4 | 9.1× |
| Connecticut | $9,593 | 16 | 1 | 5.0× |
| Massachusetts | $9,146 | 168 | 11 | 4.0× |
| District of Columbia | $9,053 | 14 | 1 | 4.2× |
| Indiana | $8,404 | 13 | 1 | 5.8× |
| Illinois | $8,164 | 26 | 2 | 3.6× |
| Wisconsin | $8,162 | 11 | 1 | 3.9× |
| New Hampshire | $7,802 | 19 | 1 | 5.8× |
| Nebraska | $7,559 | 14 | 1 | 3.9× |
| Maryland* | $7,537 | 22 | 2 | 1.4× |
| Maine | $7,073 | 16 | 1 | 4.2× |
| Pennsylvania | $7,054 | 55 | 3 | 6.8× |
| Ohio | $7,027 | 70 | 5 | 4.8× |
| Tennessee | $6,928 | 15 | 1 | 8.9× |
| Georgia | $6,734 | 15 | 1 | 2.7× |
| Michigan | $6,677 | 13 | 1 | 3.5× |
| North Carolina | $6,655 | 19 | 1 | 4.2× |
| Kansas | $6,630 | 11 | 1 | 12.4× |
| Delaware | $6,477 | 21 | 1 | 7.0× |
| Florida | $6,397 | 142 | 9 | 9.0× |
| Minnesota | $6,278 | 24 | 2 | 7.2× |
| South Dakota | $6,264 | 15 | 1 | 6.1× |
| Missouri | $6,244 | 29 | 2 | 4.2× |
| Virginia | $6,243 | 12 | 1 | 10.4× |
| Texas | $6,218 | 71 | 5 | 10.9× |
| Alabama | $6,014 | 47 | 3 | 7.0× |
| Oklahoma | $5,985 | 23 | 1 | 5.7× |
| Kentucky | $5,736 | 20 | 1 | 4.8× |
| United States | $7,565 | 1,036 | 69 | 6.3× |
* 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 880.
| 10th percentile | $6,005 |
|---|---|
| 25th percentile | $6,453 |
| Median hospital | $6,897 |
| 75th percentile | $8,251 |
| 90th percentile | $10,137 |
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Questions
What did Medicare pay for MS‑DRG 880 in 2024?
An average of $7,565 per discharge across 1,036 fee-for-service discharges at 69 hospitals, $7.8M in total.
Which state paid the most for MS‑DRG 880?
California, at $10,541 per case; Kentucky paid the least, $5,736.
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.