MS‑DRG 920: Complications of Treatment with CC
What Medicare paid hospitals for MS‑DRG 920 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $8,567 per discharge for MS‑DRG 920, across 5,288 fee-for-service discharges at 282 hospitals: 0.11% of all Medicare inpatient discharges and $45.3M in total, the 199th largest MS‑DRG by Medicare spending.
By state, the average ran from $4,876 in Vermont to $11,465 in California. Across hospitals, half were paid between $6,928 and $9,388 per case, and the median hospital $7,814; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $53,720 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 | 1.0023 | 0.9975 | −0.5% |
| Geometric mean stay (days) | 2.8 | 2.8 | 0.0 |
| Average stay (days) | 3.7 | 3.6 | −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)
$7,369.48
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 ($) |
|---|---|---|---|
| 919 | with MCC | 13,024.96 | +5,655.48 |
| 920 | with CC | 7,369.48 | — |
| 921 | without CC/MCC | 4,966.18 | −2,403.30 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 920 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $14,334 | 49 | 3 | 1.1× |
| California | $11,465 | 383 | 20 | 8.8× |
| Connecticut | $11,157 | 50 | 2 | 4.1× |
| District of Columbia | $10,950 | 39 | 2 | 7.0× |
| New York | $10,205 | 419 | 18 | 7.2× |
| Nebraska | $10,048 | 52 | 3 | 5.2× |
| New Hampshire | $9,938 | 16 | 1 | 4.7× |
| Massachusetts | $9,839 | 263 | 12 | 3.6× |
| Nevada | $9,816 | 11 | 1 | 12.0× |
| Rhode Island | $9,393 | 29 | 2 | 3.9× |
| Utah | $9,304 | 18 | 1 | 2.7× |
| New Jersey | $9,027 | 200 | 12 | 8.3× |
| Oregon | $8,976 | 29 | 2 | 4.3× |
| Alaska | $8,942 | 14 | 1 | 8.6× |
| North Carolina | $8,939 | 163 | 9 | 4.4× |
| Colorado | $8,839 | 29 | 2 | 7.7× |
| Alabama | $8,816 | 22 | 1 | 6.5× |
| Pennsylvania | $8,382 | 288 | 16 | 8.1× |
| Texas | $8,337 | 313 | 18 | 7.7× |
| Illinois | $8,302 | 303 | 17 | 5.2× |
| Wisconsin | $8,252 | 101 | 4 | 6.0× |
| Washington | $8,189 | 60 | 4 | 5.8× |
| Minnesota | $8,169 | 121 | 6 | 5.3× |
| Delaware | $7,977 | 40 | 1 | 4.2× |
| Iowa | $7,866 | 38 | 2 | 5.5× |
| Indiana | $7,801 | 95 | 5 | 5.3× |
| Georgia | $7,764 | 75 | 5 | 4.5× |
| Arizona | $7,763 | 155 | 9 | 6.1× |
| South Carolina | $7,710 | 78 | 5 | 5.1× |
| Ohio | $7,616 | 167 | 9 | 4.9× |
| Michigan | $7,558 | 190 | 11 | 4.6× |
| Missouri | $7,523 | 86 | 5 | 5.7× |
| Virginia | $7,517 | 119 | 9 | 6.0× |
| Kansas | $7,443 | 59 | 3 | 7.0× |
| Florida | $7,397 | 660 | 28 | 6.9× |
| Tennessee | $7,277 | 173 | 9 | 6.0× |
| South Dakota | $7,102 | 42 | 2 | 5.5× |
| Oklahoma | $7,045 | 65 | 4 | 6.4× |
| Mississippi | $7,037 | 51 | 4 | 4.2× |
| West Virginia | $6,972 | 37 | 2 | 5.0× |
| Arkansas | $6,961 | 34 | 3 | 4.9× |
| Kentucky | $6,844 | 78 | 4 | 5.0× |
| Louisiana | $6,619 | 42 | 3 | 6.3× |
| North Dakota | $6,344 | 18 | 1 | 4.1× |
| Vermont | $4,876 | 14 | 1 | 8.6× |
| United States | $8,567 | 5,288 | 282 | 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 920.
| 10th percentile | $6,344 |
|---|---|
| 25th percentile | $6,928 |
| Median hospital | $7,814 |
| 75th percentile | $9,388 |
| 90th percentile | $10,857 |
Related analysis
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Nearby MS‑DRG numbers
Questions
What did Medicare pay for MS‑DRG 920 in 2024?
An average of $8,567 per discharge across 5,288 fee-for-service discharges at 282 hospitals, $45.3M in total.
Which state paid the most for MS‑DRG 920?
California, at $11,465 per case; Vermont paid the least, $4,876.
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.