MS‑DRG 945: Rehabilitation with CC/MCC
What Medicare paid hospitals for MS‑DRG 945 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $18,552 per discharge for MS‑DRG 945, across 1,400 fee-for-service discharges at 32 hospitals: 0.03% of all Medicare inpatient discharges and $26.0M in total, the 241st largest MS‑DRG by Medicare spending.
By state, the average ran from $8,793 in Virginia to $13,765 in California. Across hospitals, half were paid between $9,562 and $16,999 per case, and the median hospital $10,862; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $47,451 on average for these stays, 2.6 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 | 1.5486 | 1.4749 | −4.8% |
| Geometric mean stay (days) | 5.6 | 5.7 | +0.1 |
| Average stay (days) | 7.6 | 7.7 | +0.1 |
- Not capped: the −4.8% 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)
$10,896.49
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 ($) |
|---|---|---|---|
| 945 | with CC/MCC | 10,896.49 | — |
| 946 | without CC/MCC | 8,164.42 | −2,732.07 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 945 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $29,150 | 616 | 8 | 1.2× |
| California | $13,765 | 46 | 2 | 10.7× |
| Nevada | $12,643 | 33 | 2 | 10.2× |
| New York | $11,316 | 168 | 1 | 2.5× |
| Florida | $10,112 | 158 | 10 | 9.5× |
| North Carolina | $9,782 | 12 | 1 | 3.9× |
| Texas | $9,748 | 72 | 4 | 8.2× |
| Kansas | $9,746 | 22 | 1 | 10.3× |
| Michigan | $8,917 | 260 | 2 | 2.0× |
| Virginia | $8,793 | 13 | 1 | 11.9× |
| United States | $18,552 | 1,400 | 32 | 2.6× |
* 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 945.
| 10th percentile | $8,805 |
|---|---|
| 25th percentile | $9,562 |
| Median hospital | $10,862 |
| 75th percentile | $16,999 |
| 90th percentile | $27,527 |
Related analysis
More in Factors influencing health status
Nearby MS‑DRG numbers
Questions
What did Medicare pay for MS‑DRG 945 in 2024?
An average of $18,552 per discharge across 1,400 fee-for-service discharges at 32 hospitals, $26.0M in total.
Which state paid the most for MS‑DRG 945?
California, at $13,765 per case; Virginia paid the least, $8,793.
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.