DIABETES WITH CC
Medicare inpatient claims for MS-DRG 638. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.
What is MS-DRG 638?
MS-DRG 638 is the Medicare Severity Diagnosis-Related Group for DIABETES WITH CC. When a Medicare patient is discharged, the hospital stay is grouped into a single MS-DRG, and Medicare reimburses the hospital a fixed, predetermined amount for that group rather than itemizing each service.
Across the CMS Medicare Inpatient Hospitals by Provider dataset, 1,392 hospitals reported 51,512 discharges for MS-DRG 638. The average hospital submitted charge was $42K, while the average amount Medicare actually paid was $7K — a 6.2× gap between list price and reimbursement, which is typical for Medicare inpatient claims.