EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
Medicare inpatient claims for MS-DRG 981. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.
What is MS-DRG 981?
MS-DRG 981 is the Medicare Severity Diagnosis-Related Group for EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC. 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, 824 hospitals reported 29,987 discharges for MS-DRG 981. The average hospital submitted charge was $207K, while the average amount Medicare actually paid was $38K — a 5.4× gap between list price and reimbursement, which is typical for Medicare inpatient claims.