MS‑DRG 956: Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma
What Medicare paid hospitals for MS‑DRG 956 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $32,828 per discharge for MS‑DRG 956, across 1,978 fee-for-service discharges at 130 hospitals: 0.04% of all Medicare inpatient discharges and $64.9M in total, the 174th largest MS‑DRG by Medicare spending.
By state, the average ran from $18,057 in Vermont to $71,432 in Louisiana. Across hospitals, half were paid between $25,112 and $35,191 per case, and the median hospital $29,230; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $209,304 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 | 3.7630 | 3.8332 | +1.9% |
| Geometric mean stay (days) | 5.9 | 5.9 | 0.0 |
| Average stay (days) | 7.3 | 7.3 | 0.0 |
- Not capped: the +1.9% 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)
$28,319.49
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.
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 956 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Louisiana | $71,432 | 11 | 1 | 3.5× |
| Maryland* | $57,913 | 51 | 3 | 1.1× |
| Missouri | $49,488 | 16 | 1 | 4.7× |
| New Hampshire | $49,228 | 25 | 2 | 4.6× |
| California | $48,373 | 79 | 6 | 7.7× |
| Washington | $46,717 | 28 | 2 | 5.0× |
| New Mexico | $38,748 | 12 | 1 | 2.4× |
| Nevada | $38,176 | 26 | 2 | 9.9× |
| Nebraska | $37,493 | 14 | 1 | 4.8× |
| Georgia | $36,735 | 91 | 6 | 6.6× |
| New York | $36,305 | 166 | 9 | 6.3× |
| Alabama | $33,470 | 40 | 2 | 7.0× |
| Arizona | $33,372 | 37 | 3 | 5.8× |
| Massachusetts | $33,236 | 65 | 4 | 2.6× |
| North Carolina | $33,003 | 85 | 5 | 5.1× |
| Wisconsin | $32,669 | 12 | 1 | 5.4× |
| North Dakota | $31,814 | 15 | 1 | 3.7× |
| New Jersey | $31,567 | 86 | 6 | 6.2× |
| Colorado | $31,467 | 12 | 1 | 7.6× |
| Texas | $30,218 | 145 | 9 | 7.8× |
| Kentucky | $30,037 | 40 | 3 | 5.6× |
| Ohio | $29,850 | 51 | 4 | 6.3× |
| South Carolina | $29,689 | 53 | 4 | 9.7× |
| Illinois | $29,588 | 61 | 5 | 4.5× |
| Indiana | $29,467 | 47 | 3 | 5.9× |
| Tennessee | $29,455 | 104 | 6 | 7.8× |
| Delaware | $29,409 | 36 | 2 | 3.4× |
| Virginia | $29,044 | 45 | 4 | 5.9× |
| Oklahoma | $28,215 | 47 | 2 | 9.1× |
| Pennsylvania | $27,643 | 84 | 5 | 6.7× |
| Arkansas | $27,135 | 33 | 2 | 5.1× |
| Iowa | $26,593 | 38 | 3 | 5.5× |
| Florida | $26,419 | 229 | 14 | 8.9× |
| West Virginia | $25,953 | 11 | 1 | 5.4× |
| Kansas | $25,828 | 42 | 3 | 11.2× |
| South Dakota | $24,175 | 29 | 2 | 7.1× |
| Vermont | $18,057 | 12 | 1 | 6.9× |
| United States | $32,828 | 1,978 | 130 | 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 956.
| 10th percentile | $23,467 |
|---|---|
| 25th percentile | $25,112 |
| Median hospital | $29,230 |
| 75th percentile | $35,191 |
| 90th percentile | $43,672 |
Related analysis
More in Multiple significant trauma
Questions
What did Medicare pay for MS‑DRG 956 in 2024?
An average of $32,828 per discharge across 1,978 fee-for-service discharges at 130 hospitals, $64.9M in total.
Which state paid the most for MS‑DRG 956?
Louisiana, at $71,432 per case; Vermont paid the least, $18,057.
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.