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
620
$84,513
$23,231
3.6× st 6.2×
291
Heart failure and shock with mcc
199
$74,617
$16,072
4.6× st 6.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
129
$55,949
$12,378
4.5× st 6.1×
274
Percutaneous and other intracardiac procedures without mcc
85
$152,406
$35,788
4.3× st 5.6×
177
Respiratory infections and inflammations with mcc
75
$79,391
$20,005
4.0× st 6.6×
378
Gastrointestinal hemorrhage with cc
74
$47,850
$15,475
3.1× st 6.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
71
$74,167
$11,566
6.4× st 7.9×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
63
$226,482
$65,274
3.5× st 5.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
62
$47,962
$9,135
5.3× st 6.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
62
$102,774
$22,908
4.5× st 7.4×
853
Infectious and parasitic diseases with o.r. procedures with mcc
56
$201,891
$56,315
3.6× st 6.2×
698
Other kidney and urinary tract diagnoses with mcc
53
$60,846
$17,687
3.4× st 6.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
49
$108,909
$24,669
4.4× st 6.4×
330
Major small and large bowel procedures with cc
45
$132,935
$27,499
4.8× st 6.9×
309
Cardiac arrhythmia and conduction disorders with cc
44
$40,246
$8,487
4.7× st 7.2×
193
Simple pneumonia and pleurisy with mcc
44
$66,659
$14,735
4.5× st 6.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
44
$60,268
$14,796
4.1× st 5.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
44
$44,345
$9,077
4.9× st 6.3×
189
Pulmonary edema and respiratory failure
44
$66,451
$14,058
4.7× st 6.7×
308
Cardiac arrhythmia and conduction disorders with mcc
35
$66,622
$13,823
4.8× st 6.9×
280
Acute myocardial infarction, discharged alive with mcc
35
$106,938
$19,979
5.4× st 6.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
32
$165,210
$28,959
5.7× st 7.8×
552
Medical back problems without mcc
32
$49,277
$11,692
4.2× st 7.5×
377
Gastrointestinal hemorrhage with mcc
30
$100,389
$23,830
4.2× st 6.4×
481
Hip and femur procedures except major joint with cc
30
$91,495
$23,526
3.9× st 6.7×
683
Renal failure with cc
30
$42,526
$11,993
3.5× st 6.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
30
$260,967
$48,175
5.4× st 7.4×
281
Acute myocardial infarction, discharged alive with cc
27
$67,443
$11,568
5.8× st 7.8×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
27
$332,429
$77,221
4.3× st 5.5×
811
Red blood cell disorders with mcc
27
$73,270
$21,270
3.4× st 6.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
26
$109,063
$23,549
4.6× st 6.9×
603
Cellulitis without mcc
26
$34,894
$10,645
3.3× st 5.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
26
$31,239
$7,001
4.5× st 7.6×
682
Renal failure with mcc
25
$62,441
$16,116
3.9× st 6.1×
690
Kidney and urinary tract infections without mcc
24
$58,548
$10,224
5.7× st 6.6×
389
Gastrointestinal obstruction with cc
24
$43,429
$9,132
4.8× st 6.9×
854
Infectious and parasitic diseases with o.r. procedures with cc
24
$89,152
$23,329
3.8× st 6.7×
312
Syncope and collapse
24
$51,120
$10,414
4.9× st 7.2×
689
Kidney and urinary tract infections with mcc
23
$51,788
$12,539
4.1× st 6.3×
393
Other digestive system diagnoses with mcc
23
$78,861
$19,965
4.0× st 5.8×
229
Other cardiothoracic procedures without mcc
22
$200,969
$50,126
4.0× st 5.9×
092
Other disorders of nervous system with cc
21
$74,204
$11,654
6.4× st 6.8×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
19
$38,187
$10,146
3.8× st 6.9×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
19
$57,326
$8,062
7.1× st 8.8×
394
Other digestive system diagnoses with cc
18
$48,995
$10,783
4.5× st 6.9×
329
Major small and large bowel procedures with mcc
18
$185,032
$51,548
3.6× st 6.5×
190
Chronic obstructive pulmonary disease with mcc
18
$52,082
$12,609
4.1× st 7.1×
812
Red blood cell disorders without mcc
17
$48,525
$10,458
4.6× st 6.4×
314
Other circulatory system diagnoses with mcc
17
$70,437
$20,934
3.4× st 6.1×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
16
$91,672
$14,764
6.2× st 7.7×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
16
$320,644
$79,854
4.0× st 6.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
16
$73,997
$14,620
5.1× st 6.5×
175
Pulmonary embolism with mcc or acute cor pulmonale
16
$59,949
$16,087
3.7× st 7.2×
091
Other disorders of nervous system with mcc
16
$90,327
$20,725
4.4× st 6.0×
536
Fractures of hip and pelvis without mcc
15
$53,501
$9,065
5.9× st 7.0×
057
Degenerative nervous system disorders without mcc
15
$53,888
$15,026
3.6× st 5.7×
273
Percutaneous and other intracardiac procedures with mcc
15
$214,794
$44,385
4.8× st 6.5×
069
Transient ischemia without thrombolytic
15
$55,434
$10,036
5.5× st 9.5×
480
Hip and femur procedures except major joint with mcc
14
$110,677
$30,916
3.6× st 6.8×
460
Spinal fusion except cervical without mcc
14
$197,325
$41,936
4.7× st 5.6×
025
Craniotomy and endovascular intracranial procedures with mcc
14
$244,371
$53,964
4.5× st 6.5×
388
Gastrointestinal obstruction with mcc
13
$62,207
$16,135
3.9× st 6.5×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
13
$100,174
$27,764
3.6× st 6.5×
252
Other vascular procedures with mcc
13
$172,851
$41,551
4.2× st 5.7×
100
Seizures with mcc
13
$106,172
$24,476
4.3× st 6.2×
637
Diabetes with mcc
12
$59,296
$15,368
3.9× st 6.3×
435
Malignancy of hepatobiliary system or pancreas with mcc
12
$78,930
$20,123
3.9× st 6.8×
813
Coagulation disorders
12
$95,988
$17,688
5.4× st 5.8×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
12
$358,179
$89,053
4.0× st 6.5×
660
Kidney and ureter procedures for non-neoplasm with cc
12
$93,635
$15,451
6.1× st 7.1×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
11
$131,736
$32,669
4.0× st 6.6×