Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
201
$97,804
$15,891
6.2× st 5.0×
291
Heart failure and shock with mcc
116
$68,667
$10,248
6.7× st 5.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
101
$128,059
$14,914
8.6× st 7.2×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
77
$72,005
$8,892
8.1× st 5.9×
690
Kidney and urinary tract infections without mcc
70
$42,144
$6,483
6.5× st 5.0×
481
Hip and femur procedures except major joint with cc
69
$178,460
$17,292
10.3× st 6.7×
177
Respiratory infections and inflammations with mcc
68
$99,010
$12,848
7.7× st 4.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
65
$52,623
$8,770
6.0× st 5.0×
064
Intracranial hemorrhage or cerebral infarction with mcc
64
$97,516
$16,515
5.9× st 5.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
64
$84,341
$8,002
10.5× st 6.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
63
$40,407
$6,469
6.2× st 5.9×
552
Medical back problems without mcc
57
$55,904
$7,853
7.1× st 5.8×
603
Cellulitis without mcc
56
$38,087
$7,295
5.2× st 4.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
55
$44,300
$6,369
7.0× st 5.7×
193
Simple pneumonia and pleurisy with mcc
54
$72,164
$10,688
6.8× st 5.1×
025
Craniotomy and endovascular intracranial procedures with mcc
52
$228,653
$32,923
6.9× st 5.8×
378
Gastrointestinal hemorrhage with cc
48
$69,104
$8,400
8.2× st 6.2×
086
Traumatic stupor and coma <1 hour with cc
46
$91,954
$11,079
8.3× st 6.8×
280
Acute myocardial infarction, discharged alive with mcc
45
$94,388
$12,323
7.7× st 6.0×
467
Revision of hip or knee replacement with cc
44
$226,787
$28,207
8.0× st 5.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
42
$160,216
$16,798
9.5× st 6.4×
189
Pulmonary edema and respiratory failure
41
$80,092
$10,051
8.0× st 5.1×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
40
$345,268
$41,427
8.3× st 5.8×
698
Other kidney and urinary tract diagnoses with mcc
39
$95,731
$12,807
7.5× st 4.7×
309
Cardiac arrhythmia and conduction disorders with cc
38
$43,045
$6,384
6.7× st 6.1×
057
Degenerative nervous system disorders without mcc
36
$60,533
$9,663
6.3× st 5.6×
377
Gastrointestinal hemorrhage with mcc
36
$92,452
$13,949
6.6× st 5.4×
460
Spinal fusion except cervical without mcc
35
$204,823
$29,317
7.0× st 7.1×
683
Renal failure with cc
33
$47,152
$7,199
6.6× st 5.3×
312
Syncope and collapse
31
$50,941
$7,078
7.2× st 6.7×
455
Combined anterior and posterior spinal fusion without cc/mcc
30
$285,657
$39,669
7.2× st 5.9×
178
Respiratory infections and inflammations with cc
30
$59,571
$8,413
7.1× st 5.3×
194
Simple pneumonia and pleurisy with cc
29
$49,972
$7,086
7.1× st 5.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
29
$269,817
$40,408
6.7× st 4.8×
544
Pathological fractures and musculoskeletal and connective tissue malignancy without cc/m
29
$58,595
$6,439
9.1× st 7.2×
184
Major chest trauma with cc
29
$80,429
$8,715
9.2× st 6.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
27
$121,728
$15,892
7.7× st 7.9×
085
Traumatic stupor and coma <1 hour with mcc
27
$124,595
$18,951
6.6× st 5.4×
308
Cardiac arrhythmia and conduction disorders with mcc
27
$68,806
$9,657
7.1× st 5.8×
083
Traumatic stupor and coma >1 hour with cc
27
$90,382
$10,969
8.2× st 5.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
27
$59,134
$9,847
6.0× st 4.9×
165
Major chest procedures without cc/mcc
27
$116,692
$16,038
7.3× st 6.1×
036
Carotid artery stent procedures without cc/mcc
26
$132,820
$17,153
7.7× st 7.2×
689
Kidney and urinary tract infections with mcc
26
$52,361
$9,470
5.5× st 4.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
24
$29,363
$5,158
5.7× st 6.3×
274
Percutaneous and other intracardiac procedures without mcc
24
$165,630
$26,774
6.2× st 6.3×
271
Other major cardiovascular procedures with cc
24
$244,633
$29,464
8.3× st 5.9×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
24
$178,425
$21,033
8.5× st 6.8×
305
Hypertension without mcc
23
$41,986
$6,475
6.5× st 6.2×
699
Other kidney and urinary tract diagnoses with cc
23
$52,831
$8,284
6.4× st 4.1×
164
Major chest procedures with cc
23
$162,114
$16,736
9.7× st 5.4×
468
Revision of hip or knee replacement without cc/mcc
23
$210,646
$21,878
9.6× st 6.3×
480
Hip and femur procedures except major joint with mcc
23
$280,531
$23,853
11.8× st 5.9×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
23
$216,202
$18,485
11.7× st 7.0×
393
Other digestive system diagnoses with mcc
22
$73,850
$12,400
6.0× st 4.0×
389
Gastrointestinal obstruction with cc
22
$39,062
$7,167
5.5× st 5.2×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
21
$48,321
$6,998
6.9× st 7.1×
269
Aortic and heart assist procedures except pulsation balloon without mcc
21
$305,892
$35,219
8.7× st 6.6×
191
Chronic obstructive pulmonary disease with cc
20
$45,749
$7,004
6.5× st 6.3×
183
Major chest trauma with mcc
20
$96,682
$14,443
6.7× st 5.4×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
20
$63,909
$7,501
8.5× st 7.3×
948
Signs and symptoms without mcc
20
$41,586
$6,344
6.6× st 5.7×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
20
$115,307
$14,194
8.1× st 5.7×
314
Other circulatory system diagnoses with mcc
19
$100,068
$15,172
6.6× st 4.5×
035
Carotid artery stent procedures with cc
19
$157,708
$18,035
8.7× st 9.3×
176
Pulmonary embolism without mcc
19
$49,171
$6,699
7.3× st 6.0×
281
Acute myocardial infarction, discharged alive with cc
19
$53,893
$7,321
7.4× st 7.3×
149
Dysequilibrium
19
$47,885
$6,096
7.9× st 7.8×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
18
$73,431
$10,376
7.1× st 4.8×
087
Traumatic stupor and coma <1 hour without cc/mcc
18
$82,407
$7,248
11.4× st 8.1×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
18
$52,001
$6,603
7.9× st 4.8×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
17
$238,134
$22,013
10.8× st 5.5×
482
Hip and femur procedures except major joint without cc/mcc
17
$145,688
$13,434
10.8× st 5.8×
315
Other circulatory system diagnoses with cc
17
$39,087
$7,635
5.1× st 4.1×
473
Cervical spinal fusion without cc/mcc
17
$179,421
$19,160
9.4× st 5.3×
252
Other vascular procedures with mcc
17
$335,228
$30,485
11.0× st 5.6×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
17
$112,930
$17,715
6.4× st 5.6×
082
Traumatic stupor and coma >1 hour with mcc
17
$153,871
$18,207
8.5× st 5.1×
208
Respiratory system diagnosis with ventilator support <=96 hours
16
$189,711
$21,459
8.8× st 5.5×
520
Back and neck procedures except spinal fusion without cc/mcc
16
$110,925
$11,453
9.7× st 6.8×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
16
$75,424
$5,715
13.2× st 7.0×
682
Renal failure with mcc
16
$77,959
$11,537
6.8× st 4.8×
103
Headaches without mcc
16
$45,821
$6,962
6.6× st 5.7×
092
Other disorders of nervous system with cc
16
$61,411
$8,039
7.6× st 5.7×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
15
$186,862
$17,246
10.8× st 4.9×
270
Other major cardiovascular procedures with mcc
15
$364,318
$46,593
7.8× st 4.8×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
15
$52,343
$9,695
5.4× st 7.5×
190
Chronic obstructive pulmonary disease with mcc
15
$67,020
$9,158
7.3× st 5.4×
812
Red blood cell disorders without mcc
15
$62,782
$7,476
8.4× st 5.5×
870
Septicemia or severe sepsis with mv >96 hours
14
$364,635
$53,400
6.8× st 4.4×
884
Organic disturbances and intellectual disability
14
$55,134
$11,853
4.7× st 4.5×
580
Other skin, subcutaneous tissue and breast procedures with cc
14
$86,402
$15,037
5.7× st 3.9×
100
Seizures with mcc
14
$95,861
$15,394
6.2× st 4.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
14
$146,384
$23,614
6.2× st 7.5×
454
Combined anterior and posterior spinal fusion with cc
14
$350,020
$56,613
6.2× st 5.6×
229
Other cardiothoracic procedures without mcc
14
$249,706
$35,656
7.0× st 7.6×
394
Other digestive system diagnoses with cc
13
$39,492
$7,599
5.2× st 4.9×
054
Nervous system neoplasms with mcc
13
$70,532
$11,031
6.4× st 4.2×
432
Cirrhosis and alcoholic hepatitis with mcc
13
$77,879
$15,465
5.0× st 4.7×
521
Hip replacement with principal diagnosis of hip fracture with mcc
13
$226,890
$22,943
9.9× st 5.6×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
13
$230,455
$29,208
7.9× st 5.4×
483
Major joint or limb reattachment procedures of upper extremities
13
$176,697
$20,039
8.8× st 5.8×
494
Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
13
$151,862
$14,609
10.4× st 7.8×
026
Craniotomy and endovascular intracranial procedures with cc
12
$188,390
$23,326
8.1× st 5.3×
300
Peripheral vascular disorders with cc
12
$51,595
$8,674
5.9× st 4.1×
253
Other vascular procedures with cc
12
$315,639
$26,956
11.7× st 5.9×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
12
$294,858
$36,878
8.0× st 5.0×
069
Transient ischemia without thrombolytic
12
$52,991
$6,517
8.1× st 7.8×
638
Diabetes with cc
12
$66,024
$9,082
7.3× st 5.1×
070
Other cerebrovascular disorders with mcc
12
$65,575
$13,487
4.9× st 5.7×
071
Other cerebrovascular disorders with cc
12
$56,228
$8,496
6.6× st 6.0×
551
Medical back problems with mcc
12
$90,406
$12,622
7.2× st 5.5×
602
Cellulitis with mcc
12
$74,943
$10,941
6.9× st 4.6×
472
Cervical spinal fusion with cc
12
$227,128
$22,979
9.9× st 7.3×
101
Seizures without mcc
11
$80,313
$7,451
10.8× st 5.0×
268
Aortic and heart assist procedures except pulsation balloon with mcc
11
$489,062
$58,424
8.4× st 6.2×
091
Other disorders of nervous system with mcc
11
$80,194
$15,657
5.1× st 4.5×
163
Major chest procedures with mcc
11
$278,850
$36,394
7.7× st 4.9×
301
Peripheral vascular disorders without cc/mcc
11
$34,894
$5,835
6.0× st 6.0×
244
Permanent cardiac pacemaker implant without cc/mcc
11
$90,725
$14,440
6.3× st 6.7×
445
Disorders of the biliary tract with cc
11
$62,360
$8,874
7.0× st 6.1×
418
Laparoscopic cholecystectomy without c.d.e. with cc
11
$111,042
$13,004
8.5× st 6.5×
329
Major small and large bowel procedures with mcc
11
$198,395
$35,005
5.7× st 5.4×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
11
$107,553
$11,931
9.0× st 4.6×