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
398
$59,579
$13,342
4.5× st 4.0×
291
Heart failure and shock with mcc
241
$37,263
$8,726
4.3× st 4.0×
193
Simple pneumonia and pleurisy with mcc
117
$42,852
$8,866
4.8× st 4.4×
177
Respiratory infections and inflammations with mcc
90
$46,826
$11,349
4.1× st 4.2×
308
Cardiac arrhythmia and conduction disorders with mcc
80
$38,728
$8,500
4.6× st 4.3×
689
Kidney and urinary tract infections with mcc
75
$31,798
$7,878
4.0× st 3.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
67
$39,279
$8,937
4.4× st 3.8×
189
Pulmonary edema and respiratory failure
66
$36,052
$8,588
4.2× st 4.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
65
$36,135
$7,300
5.0× st 4.1×
378
Gastrointestinal hemorrhage with cc
52
$35,107
$6,845
5.1× st 4.4×
305
Hypertension without mcc
52
$21,822
$5,167
4.2× st 4.1×
309
Cardiac arrhythmia and conduction disorders with cc
50
$20,031
$5,319
3.8× st 3.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
50
$24,715
$5,610
4.4× st 4.2×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
47
$117,774
$12,408
9.5× st 6.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
46
$122,673
$32,202
3.8× st 4.2×
682
Renal failure with mcc
46
$35,137
$10,171
3.5× st 3.9×
481
Hip and femur procedures except major joint with cc
44
$48,419
$13,790
3.5× st 3.9×
377
Gastrointestinal hemorrhage with mcc
43
$51,919
$12,535
4.1× st 4.1×
190
Chronic obstructive pulmonary disease with mcc
41
$31,233
$7,209
4.3× st 4.3×
683
Renal failure with cc
40
$22,349
$6,238
3.6× st 3.9×
698
Other kidney and urinary tract diagnoses with mcc
38
$47,233
$11,106
4.3× st 3.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
37
$21,110
$5,481
3.9× st 4.1×
312
Syncope and collapse
37
$27,182
$5,993
4.5× st 4.3×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
36
$16,259
$4,059
4.0× st 3.5×
280
Acute myocardial infarction, discharged alive with mcc
34
$43,588
$10,771
4.0× st 4.2×
690
Kidney and urinary tract infections without mcc
34
$29,127
$5,635
5.2× st 3.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
33
$35,825
$6,743
5.3× st 4.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
32
$157,710
$22,708
6.9× st 5.3×
637
Diabetes with mcc
31
$32,071
$10,352
3.1× st 3.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
30
$43,482
$7,487
5.8× st 4.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
29
$31,942
$8,794
3.6× st 4.0×
274
Percutaneous and other intracardiac procedures without mcc
28
$102,563
$21,338
4.8× st 4.1×
812
Red blood cell disorders without mcc
28
$27,066
$6,330
4.3× st 3.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
27
$55,015
$12,876
4.3× st 4.0×
194
Simple pneumonia and pleurisy with cc
24
$22,415
$5,710
3.9× st 4.2×
884
Organic disturbances and intellectual disability
24
$35,965
$9,352
3.8× st 3.2×
304
Hypertension with mcc
23
$33,471
$7,946
4.2× st 4.3×
329
Major small and large bowel procedures with mcc
23
$162,295
$30,909
5.3× st 3.7×
638
Diabetes with cc
22
$22,836
$6,463
3.5× st 3.5×
811
Red blood cell disorders with mcc
22
$38,213
$9,759
3.9× st 3.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
22
$53,074
$13,801
3.8× st 3.8×
603
Cellulitis without mcc
22
$26,191
$6,444
4.1× st 4.1×
870
Septicemia or severe sepsis with mv >96 hours
20
$197,087
$42,178
4.7× st 4.6×
854
Infectious and parasitic diseases with o.r. procedures with cc
19
$66,119
$13,872
4.8× st 4.4×
390
Gastrointestinal obstruction without cc/mcc
17
$20,456
$4,091
5.0× st 3.9×
418
Laparoscopic cholecystectomy without c.d.e. with cc
16
$57,436
$11,475
5.0× st 4.3×
480
Hip and femur procedures except major joint with mcc
16
$62,954
$18,025
3.5× st 3.7×
813
Coagulation disorders
16
$37,857
$10,589
3.6× st 4.4×
389
Gastrointestinal obstruction with cc
16
$29,704
$5,910
5.0× st 3.9×
330
Major small and large bowel procedures with cc
15
$85,673
$16,291
5.3× st 4.1×
092
Other disorders of nervous system with cc
15
$33,873
$6,735
5.0× st 4.1×
281
Acute myocardial infarction, discharged alive with cc
15
$34,170
$6,503
5.3× st 4.7×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
15
$64,070
$14,642
4.4× st 3.9×
178
Respiratory infections and inflammations with cc
14
$28,541
$6,763
4.2× st 3.6×
057
Degenerative nervous system disorders without mcc
14
$35,806
$9,071
3.9× st 3.5×
482
Hip and femur procedures except major joint without cc/mcc
14
$35,101
$10,529
3.3× st 3.6×
208
Respiratory system diagnosis with ventilator support <=96 hours
14
$77,869
$18,590
4.2× st 4.4×
372
Major gastrointestinal disorders and peritoneal infections with cc
14
$40,567
$7,409
5.5× st 3.4×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
13
$101,483
$29,138
3.5× st 4.4×
101
Seizures without mcc
13
$35,658
$6,126
5.8× st 3.9×
056
Degenerative nervous system disorders with mcc
13
$44,736
$14,807
3.0× st 3.0×
699
Other kidney and urinary tract diagnoses with cc
13
$29,883
$7,231
4.1× st 3.6×
314
Other circulatory system diagnoses with mcc
13
$56,791
$13,513
4.2× st 3.3×
552
Medical back problems without mcc
13
$31,006
$6,393
4.9× st 3.8×
521
Hip replacement with principal diagnosis of hip fracture with mcc
13
$79,980
$19,447
4.1× st 3.8×
315
Other circulatory system diagnoses with cc
12
$30,224
$6,902
4.4× st 4.1×
602
Cellulitis with mcc
12
$47,292
$9,555
4.9× st 3.7×
236
Coronary bypass without cardiac catheterization without mcc
12
$193,492
$26,758
7.2× st 4.2×
313
Chest pain
12
$20,549
$5,017
4.1× st 3.1×
388
Gastrointestinal obstruction with mcc
11
$55,508
$9,846
5.6× st 3.9×
303
Atherosclerosis without mcc
11
$21,431
$4,771
4.5× st 4.1×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$35,967
$9,454
3.8× st 4.6×
163
Major chest procedures with mcc
11
$96,752
$31,248
3.1× st 3.6×
371
Major gastrointestinal disorders and peritoneal infections with mcc
11
$41,331
$10,892
3.8× st 2.8×
439
Disorders of pancreas except malignancy with cc
11
$32,166
$6,250
5.1× st 3.6×