MS‑DRG 884: Organic Disturbances and Intellectual Disability
What Medicare paid hospitals for MS‑DRG 884 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $13,593 per discharge for MS‑DRG 884, across 16,642 fee-for-service discharges at 707 hospitals: 0.34% of all Medicare inpatient discharges and $226.2M in total, the 79th largest MS‑DRG by Medicare spending.
By state, the average ran from $5,459 in Vermont to $18,713 in New York. Across hospitals, half were paid between $10,585 and $14,048 per case, and the median hospital $11,997; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $65,970 on average for these stays, 4.8 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 | 1.6089 | 1.6001 | −0.5% |
| Geometric mean stay (days) | 4.6 | 4.6 | 0.0 |
| Average stay (days) | 7.8 | 8.0 | +0.2 |
- 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)
$11,821.46
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 884 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $22,370 | 642 | 25 | 1.2× |
| New York | $18,713 | 2,171 | 61 | 5.6× |
| Alaska | $18,132 | 21 | 1 | 13.0× |
| California | $17,819 | 900 | 46 | 6.2× |
| Oregon | $15,918 | 50 | 3 | 2.9× |
| Connecticut | $15,766 | 159 | 6 | 4.5× |
| District of Columbia | $15,583 | 27 | 1 | 3.9× |
| New Mexico | $15,363 | 56 | 3 | 2.7× |
| New Jersey | $14,170 | 831 | 38 | 7.0× |
| Washington | $14,087 | 234 | 15 | 5.8× |
| Minnesota | $14,037 | 187 | 9 | 4.4× |
| Massachusetts | $13,954 | 816 | 28 | 3.2× |
| Georgia | $13,522 | 285 | 20 | 4.1× |
| New Hampshire | $13,420 | 52 | 4 | 3.3× |
| Nebraska | $13,329 | 115 | 5 | 3.2× |
| Rhode Island | $13,257 | 94 | 3 | 3.5× |
| Nevada | $12,960 | 247 | 9 | 11.2× |
| Utah | $12,940 | 29 | 2 | 2.9× |
| Maine | $12,883 | 43 | 1 | 3.6× |
| Delaware | $12,625 | 64 | 2 | 3.6× |
| South Dakota | $12,165 | 51 | 3 | 4.7× |
| Pennsylvania | $12,134 | 814 | 34 | 5.3× |
| Michigan | $12,102 | 681 | 27 | 2.9× |
| South Carolina | $12,084 | 260 | 13 | 4.8× |
| Texas | $12,025 | 657 | 29 | 6.5× |
| Montana | $11,900 | 26 | 2 | 3.4× |
| Illinois | $11,873 | 697 | 33 | 3.5× |
| North Carolina | $11,832 | 377 | 17 | 3.7× |
| Wisconsin | $11,716 | 178 | 9 | 4.5× |
| Missouri | $11,659 | 374 | 19 | 4.0× |
| Indiana | $11,490 | 257 | 13 | 2.9× |
| Colorado | $11,428 | 113 | 7 | 7.3× |
| Florida | $11,136 | 1,924 | 73 | 6.3× |
| Idaho | $11,100 | 41 | 3 | 3.8× |
| West Virginia | $11,035 | 71 | 4 | 3.8× |
| North Dakota | $10,845 | 13 | 1 | 4.2× |
| Arizona | $10,832 | 68 | 5 | 5.3× |
| Tennessee | $10,772 | 440 | 21 | 4.5× |
| Virginia | $10,712 | 541 | 21 | 4.2× |
| Iowa | $10,675 | 80 | 5 | 4.2× |
| Ohio | $10,669 | 806 | 37 | 3.6× |
| Kansas | $10,663 | 188 | 7 | 6.0× |
| Mississippi | $10,533 | 241 | 9 | 4.0× |
| Alabama | $10,518 | 236 | 11 | 3.5× |
| Louisiana | $10,145 | 66 | 3 | 5.1× |
| Kentucky | $10,056 | 160 | 7 | 4.7× |
| Arkansas | $10,023 | 108 | 6 | 3.8× |
| Oklahoma | $10,014 | 137 | 5 | 2.8× |
| Vermont | $5,459 | 14 | 1 | 10.6× |
| United States | $13,593 | 16,642 | 707 | 4.8× |
* 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 884.
| 10th percentile | $9,592 |
|---|---|
| 25th percentile | $10,585 |
| Median hospital | $11,997 |
| 75th percentile | $14,048 |
| 90th percentile | $17,768 |
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Questions
What did Medicare pay for MS‑DRG 884 in 2024?
An average of $13,593 per discharge across 16,642 fee-for-service discharges at 707 hospitals, $226.2M in total.
Which state paid the most for MS‑DRG 884?
New York, at $18,713 per case; Vermont paid the least, $5,459.
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.