MS‑DRG 948: Signs and Symptoms without MCC
What Medicare paid hospitals for MS‑DRG 948 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $6,097 per discharge for MS‑DRG 948, across 11,326 fee-for-service discharges at 569 hospitals: 0.23% of all Medicare inpatient discharges and $69.1M in total, the 168th largest MS‑DRG by Medicare spending.
By state, the average ran from $2,380 in Vermont to $8,870 in New Mexico. Across hospitals, half were paid between $4,865 and $6,710 per case, and the median hospital $5,520; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $39,255 on average for these stays, 6.4 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 | 0.8005 | 0.7835 | −2.1% |
| Geometric mean stay (days) | 2.6 | 2.6 | 0.0 |
| Average stay (days) | 3.4 | 3.3 | −0.1 |
- Not capped: the −2.1% 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)
$5,788.46
The FY2027 weight times the operating standardized amount and the capital rate ($6,848.00 + $539.95) at a wage index of 1.0. No IME, DSH, outlier or other hospital-specific adjustment, so it is not what any hospital is paid; price it at a hospital for that.
| MS‑DRG | Severity | Payment ($) | Step ($) |
|---|---|---|---|
| 947 | with MCC | 9,316.20 | +3,527.74 |
| 948 | without MCC | 5,788.46 | — |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 948 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $10,236 | 443 | 21 | 1.3× |
| New Mexico | $8,870 | 14 | 1 | 2.7× |
| Utah | $7,806 | 25 | 1 | 4.1× |
| California | $7,736 | 956 | 49 | 9.0× |
| New York | $7,663 | 1,054 | 41 | 7.5× |
| Connecticut | $7,274 | 42 | 2 | 4.9× |
| Oregon | $7,111 | 37 | 3 | 4.5× |
| Hawaii | $6,699 | 11 | 1 | 8.2× |
| Wyoming | $6,504 | 13 | 1 | 3.5× |
| Massachusetts | $6,349 | 546 | 24 | 3.9× |
| Montana | $6,334 | 30 | 2 | 4.8× |
| Nebraska | $6,237 | 99 | 5 | 5.9× |
| Nevada | $6,151 | 18 | 1 | 5.0× |
| Georgia | $6,066 | 280 | 20 | 6.0× |
| New Jersey | $6,052 | 468 | 23 | 9.6× |
| Texas | $5,934 | 352 | 20 | 7.2× |
| Washington | $5,912 | 108 | 5 | 5.0× |
| South Carolina | $5,879 | 181 | 8 | 5.6× |
| Maine | $5,869 | 25 | 1 | 4.5× |
| Pennsylvania | $5,807 | 591 | 30 | 8.0× |
| Minnesota | $5,773 | 177 | 8 | 5.1× |
| North Carolina | $5,703 | 359 | 18 | 5.1× |
| Oklahoma | $5,697 | 96 | 6 | 7.2× |
| Illinois | $5,674 | 535 | 31 | 6.0× |
| Florida | $5,576 | 1,080 | 47 | 7.8× |
| Rhode Island | $5,571 | 16 | 1 | 6.1× |
| Delaware | $5,472 | 73 | 3 | 5.8× |
| Michigan | $5,441 | 471 | 23 | 4.7× |
| South Dakota | $5,347 | 70 | 3 | 5.5× |
| Tennessee | $5,335 | 231 | 12 | 5.9× |
| New Hampshire | $5,294 | 63 | 4 | 5.5× |
| North Dakota | $5,282 | 43 | 2 | 5.6× |
| Idaho | $5,272 | 34 | 3 | 5.7× |
| Ohio | $5,245 | 405 | 23 | 5.4× |
| Wisconsin | $5,240 | 131 | 8 | 6.3× |
| Virginia | $5,237 | 252 | 13 | 5.5× |
| District of Columbia | $5,228 | 16 | 1 | 7.5× |
| Arizona | $5,186 | 170 | 10 | 8.1× |
| Missouri | $5,156 | 191 | 12 | 7.0× |
| Indiana | $5,081 | 319 | 18 | 5.8× |
| Kansas | $5,016 | 115 | 6 | 7.6× |
| Colorado | $4,966 | 23 | 2 | 11.7× |
| Mississippi | $4,712 | 85 | 5 | 4.5× |
| West Virginia | $4,672 | 167 | 7 | 5.9× |
| Alabama | $4,641 | 185 | 9 | 7.0× |
| Kentucky | $4,535 | 298 | 13 | 6.4× |
| Iowa | $4,473 | 171 | 7 | 5.7× |
| Arkansas | $4,421 | 93 | 5 | 4.3× |
| Louisiana | $4,330 | 151 | 9 | 7.5× |
| Vermont | $2,380 | 13 | 1 | 13.9× |
| United States | $6,097 | 11,326 | 569 | 6.4× |
* 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 948.
| 10th percentile | $4,330 |
|---|---|
| 25th percentile | $4,865 |
| Median hospital | $5,520 |
| 75th percentile | $6,710 |
| 90th percentile | $8,116 |
Related analysis
The same condition at other severities
947Signs and Symptoms with MCC · $11,395
More in Factors influencing health status
Nearby MS‑DRG numbers
Questions
What did Medicare pay for MS‑DRG 948 in 2024?
An average of $6,097 per discharge across 11,326 fee-for-service discharges at 569 hospitals, $69.1M in total.
Which state paid the most for MS‑DRG 948?
New Mexico, at $8,870 per case; Vermont paid the least, $2,380.
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.