MS‑DRG 951: Other Factors Influencing Health Status
What Medicare paid hospitals for MS‑DRG 951 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $4,596 per discharge for MS‑DRG 951, across 3,008 fee-for-service discharges at 148 hospitals: 0.06% of all Medicare inpatient discharges and $13.8M in total, the 281st largest MS‑DRG by Medicare spending.
By state, the average ran from $2,602 in Vermont to $6,427 in Florida. Across hospitals, half were paid between $3,890 and $5,042 per case, and the median hospital $4,380; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $27,034 on average for these stays, 5.9 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 | 0.5560 | 0.5577 | +0.3% |
| Geometric mean stay (days) | 1.8 | 1.8 | 0.0 |
| Average stay (days) | 2.6 | 2.7 | +0.1 |
- Not capped: the +0.3% 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)
$4,120.26
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.
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 951 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Florida | $6,427 | 73 | 4 | 3.5× |
| Alaska | $5,934 | 74 | 2 | 8.1× |
| California | $5,508 | 146 | 9 | 7.7× |
| Connecticut | $5,507 | 55 | 4 | 4.0× |
| Hawaii | $5,479 | 16 | 1 | 5.6× |
| New York | $5,345 | 582 | 20 | 7.0× |
| Massachusetts | $5,183 | 135 | 6 | 3.6× |
| Oregon | $4,862 | 50 | 2 | 3.6× |
| Texas | $4,778 | 16 | 1 | 7.8× |
| Arizona | $4,656 | 14 | 1 | 5.2× |
| Delaware | $4,653 | 15 | 1 | 2.7× |
| Michigan | $4,518 | 24 | 2 | 2.8× |
| Nevada | $4,508 | 15 | 1 | 4.4× |
| Maryland* | $4,363 | 87 | 5 | 1.3× |
| North Carolina | $4,355 | 281 | 14 | 3.8× |
| Illinois | $4,315 | 76 | 5 | 5.7× |
| New Jersey | $4,309 | 85 | 3 | 6.7× |
| Minnesota | $4,276 | 24 | 2 | 5.8× |
| New Hampshire | $4,269 | 47 | 4 | 5.7× |
| Washington | $4,214 | 518 | 21 | 7.6× |
| Maine | $4,210 | 56 | 4 | 4.5× |
| Idaho | $4,194 | 25 | 2 | 5.7× |
| South Carolina | $4,194 | 63 | 4 | 4.6× |
| Kansas | $4,030 | 11 | 1 | 11.4× |
| Oklahoma | $4,025 | 41 | 2 | 4.0× |
| Indiana | $4,009 | 39 | 3 | 5.1× |
| Missouri | $3,904 | 63 | 4 | 4.0× |
| Alabama | $3,774 | 28 | 2 | 2.5× |
| Pennsylvania | $3,752 | 65 | 3 | 6.6× |
| Wisconsin | $3,684 | 54 | 3 | 6.4× |
| Montana | $3,679 | 39 | 2 | 3.6× |
| Virginia | $3,541 | 32 | 2 | 5.7× |
| Iowa | $3,186 | 36 | 2 | 5.5× |
| West Virginia | $3,170 | 34 | 2 | 7.4× |
| Kentucky | $2,963 | 55 | 2 | 7.5× |
| Vermont | $2,602 | 34 | 2 | 9.4× |
| United States | $4,596 | 3,008 | 148 | 5.9× |
* 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 951.
| 10th percentile | $3,350 |
|---|---|
| 25th percentile | $3,890 |
| Median hospital | $4,380 |
| 75th percentile | $5,042 |
| 90th percentile | $5,716 |
More in Factors influencing health status
Questions
What did Medicare pay for MS‑DRG 951 in 2024?
An average of $4,596 per discharge across 3,008 fee-for-service discharges at 148 hospitals, $13.8M in total.
Which state paid the most for MS‑DRG 951?
Florida, at $6,427 per case; Vermont paid the least, $2,602.
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.