MS‑DRG 917: Poisoning and Toxic Effects of Drugs with MCC
What Medicare paid hospitals for MS‑DRG 917 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $13,880 per discharge for MS‑DRG 917, across 9,015 fee-for-service discharges at 519 hospitals: 0.18% of all Medicare inpatient discharges and $125.1M in total, the 111th largest MS‑DRG by Medicare spending.
By state, the average ran from $8,468 in Louisiana to $17,672 in New York. Across hospitals, half were paid between $10,758 and $15,355 per case, and the median hospital $12,433; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $79,443 on average for these stays, 5.7 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 | 1.5684 | 1.5700 | +0.1% |
| Geometric mean stay (days) | 3.7 | 3.7 | 0.0 |
| Average stay (days) | 5.4 | 5.2 | −0.2 |
- Not capped: the +0.1% 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)
$11,599.08
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 ($) |
|---|---|---|---|
| 917 | with MCC | 11,599.08 | — |
| 918 | without MCC | 6,442.29 | −5,156.79 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 917 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $20,864 | 297 | 17 | 1.2× |
| New York | $17,672 | 633 | 33 | 6.0× |
| California | $17,374 | 1,255 | 73 | 7.0× |
| Utah | $17,060 | 27 | 2 | 4.1× |
| Connecticut | $16,251 | 141 | 7 | 4.7× |
| District of Columbia | $15,961 | 31 | 1 | 5.5× |
| Massachusetts | $15,898 | 537 | 24 | 3.3× |
| Rhode Island | $15,057 | 25 | 1 | 3.0× |
| Wisconsin | $14,945 | 89 | 6 | 5.9× |
| Georgia | $14,645 | 168 | 9 | 5.2× |
| Texas | $14,225 | 479 | 29 | 6.0× |
| Oregon | $14,069 | 143 | 8 | 3.6× |
| Arizona | $14,055 | 144 | 11 | 4.7× |
| Pennsylvania | $13,688 | 275 | 15 | 7.9× |
| Minnesota | $13,626 | 214 | 10 | 3.8× |
| Vermont | $13,207 | 19 | 1 | 5.3× |
| New Jersey | $13,039 | 345 | 23 | 7.7× |
| Alaska | $12,860 | 34 | 2 | 10.0× |
| South Dakota | $12,778 | 30 | 2 | 4.7× |
| New Hampshire | $12,659 | 76 | 6 | 4.7× |
| New Mexico | $12,602 | 45 | 3 | 3.8× |
| Nevada | $12,539 | 175 | 10 | 10.8× |
| Delaware | $12,404 | 65 | 3 | 4.0× |
| Illinois | $12,394 | 272 | 18 | 5.3× |
| Washington | $12,254 | 283 | 17 | 5.9× |
| Missouri | $12,208 | 139 | 9 | 5.3× |
| Hawaii | $12,030 | 15 | 1 | 5.4× |
| Michigan | $11,871 | 208 | 14 | 3.8× |
| Maine | $11,831 | 43 | 1 | 4.6× |
| Ohio | $11,777 | 151 | 9 | 6.3× |
| North Carolina | $11,472 | 221 | 11 | 4.3× |
| Virginia | $11,411 | 248 | 17 | 5.9× |
| Idaho | $11,211 | 70 | 5 | 5.4× |
| Florida | $11,119 | 879 | 48 | 7.2× |
| Iowa | $11,087 | 34 | 2 | 6.2× |
| Tennessee | $10,961 | 198 | 12 | 5.6× |
| Indiana | $10,946 | 115 | 8 | 5.1× |
| Oklahoma | $10,942 | 155 | 7 | 5.8× |
| North Dakota | $10,909 | 44 | 3 | 3.4× |
| Montana | $10,815 | 39 | 2 | 3.1× |
| South Carolina | $10,793 | 132 | 7 | 6.5× |
| West Virginia | $10,391 | 41 | 3 | 5.6× |
| Kansas | $10,247 | 61 | 3 | 8.0× |
| Kentucky | $10,052 | 73 | 5 | 6.0× |
| Mississippi | $10,043 | 98 | 5 | 5.1× |
| Colorado | $10,002 | 34 | 2 | 8.3× |
| Arkansas | $9,812 | 91 | 7 | 5.0× |
| Nebraska | $9,663 | 16 | 1 | 6.0× |
| Alabama | $9,464 | 68 | 3 | 9.2× |
| Louisiana | $8,468 | 40 | 3 | 9.3× |
| United States | $13,880 | 9,015 | 519 | 5.7× |
* 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 917.
| 10th percentile | $9,658 |
|---|---|
| 25th percentile | $10,758 |
| Median hospital | $12,433 |
| 75th percentile | $15,355 |
| 90th percentile | $18,988 |
Related analysis
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Questions
What did Medicare pay for MS‑DRG 917 in 2024?
An average of $13,880 per discharge across 9,015 fee-for-service discharges at 519 hospitals, $125.1M in total.
Which state paid the most for MS‑DRG 917?
New York, at $17,672 per case; Louisiana paid the least, $8,468.
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.