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
261
$31,145
$14,361
2.2× st 4.0×
885
Psychoses
87
$15,059
$10,740
1.4× st 3.5×
291
Heart failure and shock with mcc
73
$20,539
$9,500
2.2× st 4.0×
690
Kidney and urinary tract infections without mcc
73
$14,162
$6,322
2.2× st 3.8×
689
Kidney and urinary tract infections with mcc
69
$15,594
$8,472
1.8× st 3.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
53
$66,621
$13,651
4.9× st 6.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
52
$13,179
$6,254
2.1× st 4.2×
309
Cardiac arrhythmia and conduction disorders with cc
46
$15,375
$5,938
2.6× st 3.8×
683
Renal failure with cc
45
$16,040
$6,911
2.3× st 3.9×
682
Renal failure with mcc
43
$23,307
$10,947
2.1× st 3.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
42
$20,009
$8,003
2.5× st 4.1×
194
Simple pneumonia and pleurisy with cc
40
$17,243
$6,480
2.7× st 4.2×
193
Simple pneumonia and pleurisy with mcc
39
$21,738
$9,890
2.2× st 4.4×
280
Acute myocardial infarction, discharged alive with mcc
37
$30,057
$11,702
2.6× st 4.2×
177
Respiratory infections and inflammations with mcc
36
$27,431
$12,081
2.3× st 4.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
35
$90,065
$23,690
3.8× st 5.3×
948
Signs and symptoms without mcc
33
$12,765
$5,951
2.1× st 3.2×
190
Chronic obstructive pulmonary disease with mcc
32
$21,177
$8,393
2.5× st 4.3×
312
Syncope and collapse
31
$16,653
$6,968
2.4× st 4.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
30
$12,179
$6,241
2.0× st 4.1×
378
Gastrointestinal hemorrhage with cc
29
$22,014
$7,717
2.9× st 4.4×
853
Infectious and parasitic diseases with o.r. procedures with mcc
29
$74,817
$34,604
2.2× st 4.2×
281
Acute myocardial infarction, discharged alive with cc
28
$21,384
$7,182
3.0× st 4.7×
481
Hip and femur procedures except major joint with cc
27
$36,888
$15,044
2.5× st 3.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
23
$23,112
$9,076
2.5× st 4.5×
189
Pulmonary edema and respiratory failure
23
$29,247
$9,659
3.0× st 4.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
23
$15,570
$7,565
2.1× st 4.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
22
$20,269
$9,951
2.0× st 3.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
21
$42,135
$15,308
2.8× st 3.8×
191
Chronic obstructive pulmonary disease with cc
21
$20,200
$6,328
3.2× st 4.0×
178
Respiratory infections and inflammations with cc
20
$20,097
$7,553
2.7× st 3.6×
390
Gastrointestinal obstruction without cc/mcc
19
$9,086
$4,554
2.0× st 3.9×
603
Cellulitis without mcc
18
$13,075
$6,562
2.0× st 4.1×
330
Major small and large bowel procedures with cc
17
$67,807
$18,405
3.7× st 4.1×
377
Gastrointestinal hemorrhage with mcc
17
$40,089
$13,466
3.0× st 4.1×
202
Bronchitis and asthma with cc/mcc
16
$17,930
$7,545
2.4× st 1.7×
699
Other kidney and urinary tract diagnoses with cc
15
$16,663
$7,229
2.3× st 3.6×
243
Permanent cardiac pacemaker implant with cc
14
$67,581
$15,904
4.2× st 3.7×
638
Diabetes with cc
14
$12,719
$7,083
1.8× st 3.5×
660
Kidney and ureter procedures for non-neoplasm with cc
13
$36,303
$10,414
3.5× st 4.1×
308
Cardiac arrhythmia and conduction disorders with mcc
13
$28,710
$9,351
3.1× st 4.3×
305
Hypertension without mcc
12
$18,455
$6,118
3.0× st 4.1×
389
Gastrointestinal obstruction with cc
12
$12,530
$6,234
2.0× st 3.9×
329
Major small and large bowel procedures with mcc
12
$78,735
$33,396
2.4× st 3.7×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
12
$19,313
$9,897
2.0× st 4.0×
698
Other kidney and urinary tract diagnoses with mcc
12
$30,662
$12,583
2.4× st 3.8×
270
Other major cardiovascular procedures with mcc
12
$140,172
$40,875
3.4× st 4.6×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
11
$41,681
$17,672
2.4× st 3.5×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
11
$9,483
$6,991
1.4× st 4.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
11
$22,648
$14,162
1.6× st 4.0×
418
Laparoscopic cholecystectomy without c.d.e. with cc
11
$38,725
$12,620
3.1× st 4.3×
854
Infectious and parasitic diseases with o.r. procedures with cc
11
$43,731
$14,562
3.0× st 4.4×
439
Disorders of pancreas except malignancy with cc
11
$12,519
$6,766
1.9× st 3.6×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
11
$16,166
$8,231
2.0× st 2.8×
811
Red blood cell disorders with mcc
11
$34,164
$13,840
2.5× st 3.8×
812
Red blood cell disorders without mcc
11
$20,121
$7,533
2.7× st 3.7×