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
274
Percutaneous and other intracardiac procedures without mcc
326
$255,105
$27,120
9.4× st 6.3×
871
Septicemia or severe sepsis without mv >96 hours with mcc
155
$162,353
$16,724
9.7× st 5.0×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
109
$540,137
$41,287
13.1× st 6.6×
291
Heart failure and shock with mcc
101
$86,160
$11,258
7.7× st 5.2×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
65
$197,230
$17,348
11.4× st 7.9×
280
Acute myocardial infarction, discharged alive with mcc
58
$144,309
$13,476
10.7× st 6.0×
193
Simple pneumonia and pleurisy with mcc
56
$101,032
$10,968
9.2× st 5.1×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
55
$291,389
$23,872
12.2× st 7.5×
177
Respiratory infections and inflammations with mcc
39
$111,145
$14,774
7.5× st 4.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
36
$169,470
$18,817
9.0× st 5.6×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
34
$691,640
$52,908
13.1× st 6.1×
281
Acute myocardial infarction, discharged alive with cc
33
$106,788
$8,085
13.2× st 7.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
33
$88,434
$7,660
11.5× st 5.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
33
$53,448
$5,107
10.5× st 6.3×
215
Other heart assist system implant
30
$864,651
$89,486
9.7× st 6.8×
309
Cardiac arrhythmia and conduction disorders with cc
29
$62,045
$6,604
9.4× st 6.1×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
28
$107,022
$9,768
11.0× st 7.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
28
$380,843
$40,711
9.4× st 4.8×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
27
$758,119
$79,855
9.5× st 5.9×
378
Gastrointestinal hemorrhage with cc
24
$103,571
$8,740
11.9× st 6.2×
682
Renal failure with mcc
24
$117,939
$12,439
9.5× st 4.8×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
24
$761,864
$62,567
12.2× st 7.5×
252
Other vascular procedures with mcc
24
$290,075
$28,704
10.1× st 5.6×
690
Kidney and urinary tract infections without mcc
21
$67,991
$7,264
9.4× st 5.0×
689
Kidney and urinary tract infections with mcc
21
$112,867
$9,649
11.7× st 4.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
21
$101,259
$8,400
12.1× st 6.6×
243
Permanent cardiac pacemaker implant with cc
21
$162,018
$18,898
8.6× st 5.5×
308
Cardiac arrhythmia and conduction disorders with mcc
20
$86,919
$10,523
8.3× st 5.8×
377
Gastrointestinal hemorrhage with mcc
20
$171,227
$15,475
11.1× st 5.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
19
$211,131
$16,068
13.1× st 7.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
19
$81,471
$8,829
9.2× st 5.0×
269
Aortic and heart assist procedures except pulsation balloon without mcc
19
$407,894
$40,111
10.2× st 6.6×
036
Carotid artery stent procedures without cc/mcc
19
$148,500
$15,298
9.7× st 7.2×
035
Carotid artery stent procedures with cc
19
$181,527
$18,358
9.9× st 9.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
18
$138,298
$14,958
9.2× st 5.2×
324
Coronary intravascular lithotripsy with intraluminal device without mcc
18
$301,889
$26,737
11.3× st 9.5×
189
Pulmonary edema and respiratory failure
17
$79,989
$10,789
7.4× st 5.1×
683
Renal failure with cc
17
$97,429
$7,880
12.4× st 5.3×
603
Cellulitis without mcc
17
$72,634
$7,941
9.1× st 4.3×
330
Major small and large bowel procedures with cc
17
$224,996
$19,561
11.5× st 6.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
17
$197,346
$17,696
11.2× st 6.4×
698
Other kidney and urinary tract diagnoses with mcc
17
$153,158
$14,320
10.7× st 4.7×
481
Hip and femur procedures except major joint with cc
16
$166,318
$17,589
9.5× st 6.7×
329
Major small and large bowel procedures with mcc
16
$356,791
$38,444
9.3× st 5.4×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
16
$897,246
$67,390
13.3× st 5.6×
270
Other major cardiovascular procedures with mcc
16
$297,757
$45,680
6.5× st 4.8×
229
Other cardiothoracic procedures without mcc
16
$295,071
$26,276
11.2× st 7.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
15
$91,825
$11,405
8.1× st 4.9×
394
Other digestive system diagnoses with cc
15
$98,901
$9,067
10.9× st 4.9×
305
Hypertension without mcc
14
$94,776
$6,520
14.5× st 6.2×
208
Respiratory system diagnosis with ventilator support <=96 hours
14
$201,814
$21,197
9.5× st 5.5×
331
Major small and large bowel procedures without cc/mcc
14
$125,461
$14,195
8.8× st 6.6×
312
Syncope and collapse
14
$105,895
$7,754
13.7× st 6.7×
069
Transient ischemia without thrombolytic
13
$79,993
$6,992
11.4× st 7.8×
454
Combined anterior and posterior spinal fusion with cc
13
$488,532
$50,071
9.8× st 5.6×
275
Cardiac defibrillator implant with cardiac catheterization and mcc
13
$542,649
$62,702
8.7× st 8.7×
282
Acute myocardial infarction, discharged alive without cc/mcc
13
$71,442
$7,373
9.7× st 7.9×
176
Pulmonary embolism without mcc
12
$66,049
$7,025
9.4× st 6.0×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
12
$380,101
$41,943
9.1× st 5.0×
273
Percutaneous and other intracardiac procedures with mcc
12
$292,366
$32,391
9.0× st 6.3×
235
Coronary bypass without cardiac catheterization with mcc
12
$610,733
$47,838
12.8× st 8.9×
242
Permanent cardiac pacemaker implant with mcc
12
$184,824
$26,297
7.0× st 5.0×
253
Other vascular procedures with cc
12
$201,185
$21,330
9.4× st 5.9×
389
Gastrointestinal obstruction with cc
12
$98,090
$6,958
14.1× st 5.2×
313
Chest pain
12
$68,454
$6,329
10.8× st 7.7×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
11
$92,669
$9,730
9.5× st 6.9×
057
Degenerative nervous system disorders without mcc
11
$107,732
$12,761
8.4× st 5.6×
100
Seizures with mcc
11
$110,047
$16,603
6.6× st 4.7×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$113,087
$12,154
9.3× st 5.3×
418
Laparoscopic cholecystectomy without c.d.e. with cc
11
$138,136
$12,878
10.7× st 6.5×