MS‑DRG 982: Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
What Medicare paid hospitals for MS‑DRG 982 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $20,080 per discharge for MS‑DRG 982, across 4,289 fee-for-service discharges at 256 hospitals: 0.09% of all Medicare inpatient discharges and $86.1M in total, the 142nd largest MS‑DRG by Medicare spending.
By state, the average ran from $13,958 in Arkansas to $27,040 in California. Across hospitals, half were paid between $16,287 and $21,825 per case, and the median hospital $18,537; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $121,564 on average for these stays, 6.0 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 | 2.4585 | 2.4249 | −1.4% |
| Geometric mean stay (days) | 4.0 | 3.9 | −0.1 |
| Average stay (days) | 5.6 | 5.4 | −0.2 |
- Not capped: the −1.4% 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)
$17,915.04
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 ($) |
|---|---|---|---|
| 981 | with MCC | 35,027.75 | +17,112.71 |
| 982 | with CC | 17,915.04 | — |
| 983 | without CC/MCC | 11,918.98 | −5,996.06 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 982 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| Maryland* | $32,253 | 118 | 7 | 1.2× |
| California | $27,040 | 232 | 14 | 7.7× |
| New Hampshire | $26,141 | 14 | 1 | 4.8× |
| New York | $25,192 | 295 | 14 | 6.9× |
| Oregon | $25,133 | 45 | 2 | 3.0× |
| Massachusetts | $24,685 | 190 | 11 | 3.3× |
| Connecticut | $23,578 | 39 | 2 | 3.8× |
| Nevada | $23,372 | 11 | 1 | 8.9× |
| District of Columbia | $22,910 | 20 | 1 | 5.2× |
| Hawaii | $22,405 | 15 | 1 | 4.7× |
| Minnesota | $21,562 | 109 | 5 | 3.6× |
| Kentucky | $21,390 | 55 | 3 | 7.4× |
| Virginia | $20,848 | 113 | 7 | 5.5× |
| Arizona | $20,373 | 66 | 4 | 6.8× |
| Washington | $20,282 | 51 | 4 | 6.1× |
| West Virginia | $20,259 | 33 | 2 | 6.5× |
| Utah | $20,214 | 55 | 4 | 4.4× |
| New Jersey | $20,107 | 118 | 7 | 7.3× |
| Indiana | $19,634 | 80 | 5 | 6.6× |
| Iowa | $19,277 | 19 | 1 | 5.4× |
| Missouri | $19,080 | 57 | 4 | 4.5× |
| Pennsylvania | $19,072 | 265 | 17 | 6.9× |
| Illinois | $18,963 | 201 | 13 | 5.7× |
| Delaware | $18,911 | 27 | 1 | 4.2× |
| South Dakota | $18,750 | 52 | 3 | 5.3× |
| Wisconsin | $18,667 | 96 | 5 | 5.0× |
| North Carolina | $18,427 | 235 | 14 | 5.2× |
| Maine | $18,343 | 17 | 1 | 5.0× |
| South Carolina | $18,293 | 59 | 4 | 7.5× |
| Georgia | $18,271 | 86 | 6 | 6.6× |
| Texas | $18,155 | 308 | 19 | 7.5× |
| Nebraska | $17,869 | 49 | 3 | 5.9× |
| Ohio | $17,631 | 152 | 10 | 6.1× |
| Kansas | $17,517 | 56 | 4 | 5.6× |
| Colorado | $17,511 | 11 | 1 | 8.8× |
| Michigan | $17,100 | 72 | 5 | 5.3× |
| Idaho | $17,084 | 37 | 3 | 5.2× |
| Tennessee | $16,954 | 90 | 5 | 6.0× |
| Oklahoma | $16,654 | 110 | 7 | 5.4× |
| Florida | $16,342 | 427 | 21 | 9.4× |
| Alabama | $15,919 | 57 | 4 | 5.6× |
| North Dakota | $15,856 | 25 | 2 | 4.4× |
| Louisiana | $15,691 | 15 | 1 | 7.1× |
| Mississippi | $14,520 | 48 | 3 | 5.1× |
| Arkansas | $13,958 | 59 | 4 | 5.7× |
| United States | $20,080 | 4,289 | 256 | 6.0× |
* 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 982.
| 10th percentile | $14,902 |
|---|---|
| 25th percentile | $16,287 |
| Median hospital | $18,537 |
| 75th percentile | $21,825 |
| 90th percentile | $26,086 |
Related analysis
The same condition at other severities
Nearby MS‑DRG numbers
Questions
What did Medicare pay for MS‑DRG 982 in 2024?
An average of $20,080 per discharge across 4,289 fee-for-service discharges at 256 hospitals, $86.1M in total.
Which state paid the most for MS‑DRG 982?
California, at $27,040 per case; Arkansas paid the least, $13,958.
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.