MS‑DRG 947: Signs and Symptoms with MCC
What Medicare paid hospitals for MS‑DRG 947 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $11,395 per discharge for MS‑DRG 947, across 1,417 fee-for-service discharges at 93 hospitals: 0.03% of all Medicare inpatient discharges and $16.1M in total, the 274th largest MS‑DRG by Medicare spending.
By state, the average ran from $7,306 in Nevada to $16,220 in California. Across hospitals, half were paid between $8,331 and $11,959 per case, and the median hospital $9,686; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $71,557 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 | 1.2694 | 1.2610 | −0.7% |
| Geometric mean stay (days) | 3.7 | 3.6 | −0.1 |
| Average stay (days) | 5.2 | 5.1 | −0.1 |
- Not capped: the −0.7% 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)
$9,316.20
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 ($) |
|---|---|---|---|
| 947 | with MCC | 9,316.20 | — |
| 948 | without MCC | 5,788.46 | −3,527.74 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 947 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $20,490 | 55 | 4 | 1.2× |
| California | $16,220 | 85 | 5 | 8.9× |
| Texas | $14,543 | 89 | 6 | 4.4× |
| District of Columbia | $13,470 | 13 | 1 | 7.2× |
| New York | $13,296 | 182 | 10 | 8.8× |
| Massachusetts | $12,667 | 103 | 6 | 4.8× |
| Pennsylvania | $11,446 | 49 | 3 | 11.2× |
| Minnesota | $11,127 | 30 | 2 | 3.2× |
| Connecticut | $10,865 | 13 | 1 | 6.0× |
| Delaware | $10,622 | 13 | 1 | 5.1× |
| Tennessee | $10,614 | 25 | 1 | 9.2× |
| Georgia | $10,591 | 11 | 1 | 5.8× |
| North Carolina | $10,135 | 86 | 6 | 5.1× |
| Washington | $10,107 | 41 | 3 | 4.4× |
| Michigan | $9,844 | 68 | 5 | 4.1× |
| Kansas | $9,658 | 23 | 2 | 6.7× |
| Illinois | $9,442 | 54 | 4 | 4.5× |
| New Jersey | $9,106 | 83 | 6 | 9.1× |
| South Carolina | $9,019 | 33 | 2 | 5.1× |
| Kentucky | $8,987 | 30 | 2 | 7.0× |
| Florida | $8,923 | 153 | 9 | 7.1× |
| Arizona | $8,855 | 31 | 2 | 6.6× |
| Iowa | $8,849 | 24 | 2 | 7.5× |
| Ohio | $8,766 | 51 | 3 | 5.5× |
| Mississippi | $8,534 | 11 | 1 | 4.9× |
| Louisiana | $8,395 | 11 | 1 | 4.6× |
| Virginia | $8,256 | 13 | 1 | 2.8× |
| Nebraska | $7,995 | 13 | 1 | 2.4× |
| Wisconsin | $7,919 | 13 | 1 | 7.9× |
| Nevada | $7,306 | 11 | 1 | 3.0× |
| United States | $11,395 | 1,417 | 93 | 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 947.
| 10th percentile | $7,924 |
|---|---|
| 25th percentile | $8,331 |
| Median hospital | $9,686 |
| 75th percentile | $11,959 |
| 90th percentile | $14,688 |
Related analysis
The same condition at other severities
948Signs and Symptoms without MCC · $6,097
More in Factors influencing health status
Nearby MS‑DRG numbers
Questions
What did Medicare pay for MS‑DRG 947 in 2024?
An average of $11,395 per discharge across 1,417 fee-for-service discharges at 93 hospitals, $16.1M in total.
Which state paid the most for MS‑DRG 947?
California, at $16,220 per case; Nevada paid the least, $7,306.
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.