MS‑DRG 964: Other Multiple Significant Trauma with CC
What Medicare paid hospitals for MS‑DRG 964 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $13,599 per discharge for MS‑DRG 964, across 1,052 fee-for-service discharges at 66 hospitals: 0.02% of all Medicare inpatient discharges and $14.3M in total, the 278th largest MS‑DRG by Medicare spending.
By state, the average ran from $6,279 in Vermont to $16,657 in California. Across hospitals, half were paid between $9,879 and $14,388 per case, and the median hospital $11,988; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $88,040 on average for these stays, 6.5 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 | 1.5326 | 1.4972 | −2.3% |
| Geometric mean stay (days) | 3.9 | 3.8 | −0.1 |
| Average stay (days) | 4.9 | 4.8 | −0.1 |
- Not capped: the −2.3% 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)
$11,061.24
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 ($) |
|---|---|---|---|
| 963 | with MCC | 19,476.85 | +8,415.61 |
| 964 | with CC | 11,061.24 | — |
| 965 | without CC/MCC | 7,431.54 | −3,629.70 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 964 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $24,570 | 75 | 4 | 1.0× |
| California | $16,657 | 70 | 5 | 11.2× |
| Texas | $16,348 | 52 | 4 | 5.8× |
| Georgia | $15,578 | 61 | 4 | 7.1× |
| New York | $15,185 | 79 | 6 | 8.2× |
| Massachusetts | $14,844 | 53 | 3 | 2.9× |
| Washington | $14,601 | 19 | 1 | 5.5× |
| Minnesota | $13,789 | 15 | 1 | 4.8× |
| New Hampshire | $13,704 | 20 | 1 | 4.9× |
| Virginia | $13,514 | 32 | 2 | 5.5× |
| Indiana | $13,063 | 21 | 1 | 4.9× |
| Rhode Island | $12,954 | 17 | 1 | 2.9× |
| Missouri | $12,902 | 13 | 1 | 3.1× |
| Nevada | $12,544 | 11 | 1 | 5.7× |
| Oklahoma | $12,498 | 48 | 1 | 10.5× |
| Nebraska | $12,137 | 16 | 1 | 4.0× |
| Tennessee | $11,839 | 115 | 5 | 7.1× |
| Delaware | $11,781 | 14 | 1 | 3.1× |
| New Jersey | $11,539 | 53 | 3 | 8.1× |
| North Carolina | $10,971 | 41 | 3 | 4.9× |
| Alabama | $10,706 | 24 | 2 | 6.7× |
| Kentucky | $9,924 | 15 | 1 | 6.7× |
| Iowa | $9,806 | 30 | 2 | 8.5× |
| Florida | $9,557 | 58 | 4 | 12.3× |
| Pennsylvania | $9,462 | 61 | 5 | 9.2× |
| Ohio | $9,085 | 22 | 2 | 7.2× |
| Vermont | $6,279 | 17 | 1 | 11.9× |
| United States | $13,599 | 1,052 | 66 | 6.5× |
* 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 964.
| 10th percentile | $9,029 |
|---|---|
| 25th percentile | $9,879 |
| Median hospital | $11,988 |
| 75th percentile | $14,388 |
| 90th percentile | $17,247 |
Related analysis
- DRG validation and the single-MCC claim: when one code moves the payment · Payment integrity
More in Multiple significant trauma
Questions
What did Medicare pay for MS‑DRG 964 in 2024?
An average of $13,599 per discharge across 1,052 fee-for-service discharges at 66 hospitals, $14.3M in total.
Which state paid the most for MS‑DRG 964?
California, at $16,657 per case; Vermont paid the least, $6,279.
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.