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
268
$107,229
$15,355
7.0× st 5.0×
291
Heart failure and shock with mcc
109
$69,596
$9,837
7.1× st 5.2×
177
Respiratory infections and inflammations with mcc
80
$101,003
$12,932
7.8× st 4.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
68
$66,339
$8,398
7.9× st 5.0×
481
Hip and femur procedures except major joint with cc
61
$149,899
$15,415
9.7× st 6.7×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
57
$66,330
$8,175
8.1× st 5.9×
193
Simple pneumonia and pleurisy with mcc
50
$79,423
$10,338
7.7× st 5.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
49
$46,047
$6,537
7.0× st 5.9×
189
Pulmonary edema and respiratory failure
42
$89,101
$9,863
9.0× st 5.1×
690
Kidney and urinary tract infections without mcc
42
$44,896
$6,710
6.7× st 5.0×
455
Combined anterior and posterior spinal fusion without cc/mcc
42
$377,506
$39,067
9.7× st 5.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
41
$305,619
$39,755
7.7× st 4.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
40
$113,456
$16,810
6.7× st 7.9×
280
Acute myocardial infarction, discharged alive with mcc
38
$86,446
$12,689
6.8× st 6.0×
603
Cellulitis without mcc
37
$39,710
$7,337
5.4× st 4.3×
522
Hip replacement with principal diagnosis of hip fracture without mcc
33
$165,275
$18,217
9.1× st 6.4×
552
Medical back problems without mcc
32
$61,036
$7,433
8.2× st 5.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
32
$73,416
$10,218
7.2× st 4.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
32
$115,747
$13,548
8.5× st 5.2×
683
Renal failure with cc
32
$48,268
$7,631
6.3× st 5.3×
460
Spinal fusion except cervical without mcc
31
$279,019
$27,742
10.1× st 7.1×
682
Renal failure with mcc
30
$88,602
$12,309
7.2× st 4.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
28
$118,835
$17,528
6.8× st 5.6×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
28
$112,157
$12,260
9.1× st 5.7×
309
Cardiac arrhythmia and conduction disorders with cc
28
$50,361
$6,583
7.7× st 6.1×
454
Combined anterior and posterior spinal fusion with cc
27
$532,703
$54,992
9.7× st 5.6×
086
Traumatic stupor and coma <1 hour with cc
26
$98,801
$10,770
9.2× st 6.8×
378
Gastrointestinal hemorrhage with cc
26
$73,317
$7,535
9.7× st 6.2×
698
Other kidney and urinary tract diagnoses with mcc
26
$87,914
$12,656
6.9× st 4.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
25
$46,484
$6,260
7.4× st 5.7×
377
Gastrointestinal hemorrhage with mcc
25
$114,582
$13,826
8.3× st 5.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
25
$131,565
$14,530
9.1× st 7.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
25
$63,241
$10,080
6.3× st 4.8×
312
Syncope and collapse
25
$54,725
$6,971
7.9× st 6.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
24
$169,495
$22,885
7.4× st 7.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
23
$63,174
$8,134
7.8× st 6.6×
057
Degenerative nervous system disorders without mcc
23
$64,521
$9,986
6.5× st 5.6×
178
Respiratory infections and inflammations with cc
22
$51,914
$7,869
6.6× st 5.3×
472
Cervical spinal fusion with cc
22
$197,550
$23,603
8.4× st 7.3×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
22
$349,900
$56,934
6.1× st 6.1×
083
Traumatic stupor and coma >1 hour with cc
22
$128,148
$10,686
12.0× st 5.8×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
22
$316,319
$36,581
8.6× st 6.6×
085
Traumatic stupor and coma <1 hour with mcc
21
$183,730
$17,239
10.7× st 5.4×
236
Coronary bypass without cardiac catheterization without mcc
21
$345,318
$32,233
10.7× st 6.6×
194
Simple pneumonia and pleurisy with cc
20
$49,617
$6,905
7.2× st 5.0×
699
Other kidney and urinary tract diagnoses with cc
19
$45,015
$8,617
5.2× st 4.1×
329
Major small and large bowel procedures with mcc
19
$442,303
$44,382
10.0× st 5.4×
480
Hip and femur procedures except major joint with mcc
19
$174,219
$21,219
8.2× st 5.9×
394
Other digestive system diagnoses with cc
19
$50,748
$7,513
6.8× st 4.9×
389
Gastrointestinal obstruction with cc
19
$36,994
$7,072
5.2× st 5.2×
305
Hypertension without mcc
18
$45,955
$6,361
7.2× st 6.2×
082
Traumatic stupor and coma >1 hour with mcc
18
$181,497
$18,312
9.9× st 5.1×
689
Kidney and urinary tract infections with mcc
18
$64,652
$8,808
7.3× st 4.9×
330
Major small and large bowel procedures with cc
18
$153,586
$18,473
8.3× st 6.2×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
18
$178,015
$20,827
8.5× st 7.0×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
16
$406,897
$46,902
8.7× st 6.3×
482
Hip and femur procedures except major joint without cc/mcc
16
$121,846
$13,551
9.0× st 5.8×
638
Diabetes with cc
15
$52,112
$7,130
7.3× st 5.1×
092
Other disorders of nervous system with cc
15
$61,305
$7,797
7.9× st 5.7×
091
Other disorders of nervous system with mcc
14
$82,561
$11,771
7.0× st 4.5×
175
Pulmonary embolism with mcc or acute cor pulmonale
14
$106,560
$11,020
9.7× st 5.3×
308
Cardiac arrhythmia and conduction disorders with mcc
14
$82,275
$9,477
8.7× st 5.8×
521
Hip replacement with principal diagnosis of hip fracture with mcc
14
$203,043
$21,795
9.3× st 5.6×
208
Respiratory system diagnosis with ventilator support <=96 hours
14
$160,500
$22,719
7.1× st 5.5×
494
Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
14
$141,499
$14,037
10.1× st 7.8×
074
Cranial and peripheral nerve disorders without mcc
13
$65,822
$8,161
8.1× st 5.2×
269
Aortic and heart assist procedures except pulsation balloon without mcc
13
$300,483
$37,631
8.0× st 6.6×
862
Postoperative and post-traumatic infections with mcc
12
$93,783
$13,569
6.9× st 4.2×
200
Pneumothorax with cc
12
$94,630
$8,659
10.9× st 5.3×
418
Laparoscopic cholecystectomy without c.d.e. with cc
12
$103,409
$13,741
7.5× st 6.5×
271
Other major cardiovascular procedures with cc
11
$226,707
$28,628
7.9× st 5.9×
243
Permanent cardiac pacemaker implant with cc
11
$121,094
$17,466
6.9× st 5.5×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
11
$56,162
$7,005
8.0× st 7.1×
071
Other cerebrovascular disorders with cc
11
$78,210
$7,719
10.1× st 6.0×