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
614
$276,017
$25,680
10.7× st 6.2×
280
Acute myocardial infarction, discharged alive with mcc
119
$181,630
$20,974
8.7× st 6.6×
291
Heart failure and shock with mcc
114
$153,920
$16,918
9.1× st 6.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
98
$136,963
$13,526
10.1× st 6.1×
698
Other kidney and urinary tract diagnoses with mcc
97
$164,141
$20,052
8.2× st 6.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
92
$815,153
$62,810
13.0× st 6.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
81
$347,106
$24,941
13.9× st 7.4×
193
Simple pneumonia and pleurisy with mcc
65
$190,283
$18,062
10.5× st 6.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
64
$149,529
$17,015
8.8× st 5.7×
312
Syncope and collapse
54
$123,724
$11,555
10.7× st 7.2×
683
Renal failure with cc
53
$105,473
$11,930
8.8× st 6.7×
177
Respiratory infections and inflammations with mcc
52
$244,828
$20,781
11.8× st 6.6×
870
Septicemia or severe sepsis with mv >96 hours
52
$1,129,427
$88,449
12.8× st 6.2×
682
Renal failure with mcc
51
$175,504
$17,624
10.0× st 6.1×
690
Kidney and urinary tract infections without mcc
50
$93,514
$10,741
8.7× st 6.6×
281
Acute myocardial infarction, discharged alive with cc
47
$123,778
$14,617
8.5× st 7.8×
552
Medical back problems without mcc
43
$122,404
$13,264
9.2× st 7.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
43
$88,550
$10,598
8.4× st 6.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
41
$205,599
$12,542
16.4× st 7.9×
699
Other kidney and urinary tract diagnoses with cc
40
$116,503
$13,677
8.5× st 6.1×
689
Kidney and urinary tract infections with mcc
40
$105,565
$14,778
7.1× st 6.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
37
$107,535
$10,978
9.8× st 6.8×
101
Seizures without mcc
36
$136,279
$11,844
11.5× st 6.8×
069
Transient ischemia without thrombolytic
36
$156,453
$10,430
15.0× st 9.5×
100
Seizures with mcc
36
$242,474
$23,820
10.2× st 6.2×
057
Degenerative nervous system disorders without mcc
34
$134,613
$18,393
7.3× st 5.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
33
$363,125
$51,871
7.0× st 7.8×
481
Hip and femur procedures except major joint with cc
32
$248,669
$23,701
10.5× st 6.7×
638
Diabetes with cc
31
$110,173
$13,358
8.2× st 6.3×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
29
$458,991
$36,860
12.5× st 7.4×
189
Pulmonary edema and respiratory failure
29
$151,255
$15,651
9.7× st 6.7×
884
Organic disturbances and intellectual disability
28
$90,342
$19,443
4.6× st 5.3×
252
Other vascular procedures with mcc
27
$394,309
$41,313
9.5× st 5.7×
208
Respiratory system diagnosis with ventilator support <=96 hours
27
$385,072
$30,629
12.6× st 7.4×
300
Peripheral vascular disorders with cc
26
$106,242
$13,690
7.8× st 6.3×
389
Gastrointestinal obstruction with cc
25
$93,990
$11,084
8.5× st 6.9×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
25
$88,864
$12,012
7.4× st 6.9×
092
Other disorders of nervous system with cc
25
$137,335
$13,378
10.3× st 6.8×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
24
$758,930
$63,029
12.0× st 6.2×
282
Acute myocardial infarction, discharged alive without cc/mcc
24
$87,872
$9,670
9.1× st 9.0×
074
Cranial and peripheral nerve disorders without mcc
24
$115,127
$13,684
8.4× st 6.2×
025
Craniotomy and endovascular intracranial procedures with mcc
23
$759,494
$58,913
12.9× st 6.5×
330
Major small and large bowel procedures with cc
23
$382,135
$31,998
11.9× st 6.9×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
23
$1,916,302
$145,392
13.2× st 6.6×
314
Other circulatory system diagnoses with mcc
22
$235,449
$25,345
9.3× st 6.1×
299
Peripheral vascular disorders with mcc
22
$202,046
$20,089
10.1× st 6.4×
673
Other kidney and urinary tract procedures with mcc
22
$436,996
$49,850
8.8× st 5.8×
091
Other disorders of nervous system with mcc
21
$232,977
$21,532
10.8× st 6.0×
309
Cardiac arrhythmia and conduction disorders with cc
21
$110,245
$10,324
10.7× st 7.2×
811
Red blood cell disorders with mcc
21
$162,091
$18,490
8.8× st 6.4×
377
Gastrointestinal hemorrhage with mcc
20
$194,598
$21,346
9.1× st 6.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
20
$228,991
$23,816
9.6× st 6.4×
551
Medical back problems with mcc
19
$160,737
$18,844
8.5× st 7.0×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
19
$141,758
$15,931
8.9× st 6.5×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
19
$166,775
$15,107
11.0× st 7.7×
432
Cirrhosis and alcoholic hepatitis with mcc
18
$213,515
$24,788
8.6× st 5.6×
637
Diabetes with mcc
18
$150,324
$17,287
8.7× st 6.3×
603
Cellulitis without mcc
17
$98,177
$11,735
8.4× st 5.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
17
$261,636
$23,134
11.3× st 6.9×
308
Cardiac arrhythmia and conduction disorders with mcc
17
$210,643
$15,779
13.4× st 6.9×
082
Traumatic stupor and coma >1 hour with mcc
16
$336,704
$28,914
11.6× st 7.7×
480
Hip and femur procedures except major joint with mcc
16
$351,491
$32,537
10.8× st 6.8×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
16
$2,314,094
$236,549
9.8× st 5.9×
482
Hip and femur procedures except major joint without cc/mcc
15
$223,658
$25,966
8.6× st 6.7×
460
Spinal fusion except cervical without mcc
15
$367,506
$43,200
8.5× st 5.6×
270
Other major cardiovascular procedures with mcc
15
$791,642
$60,430
13.1× st 6.4×
056
Degenerative nervous system disorders with mcc
15
$223,293
$27,469
8.1× st 5.9×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
15
$747,186
$57,576
13.0× st 5.4×
305
Hypertension without mcc
15
$127,788
$10,142
12.6× st 7.3×
394
Other digestive system diagnoses with cc
15
$126,224
$12,671
10.0× st 6.9×
071
Other cerebrovascular disorders with cc
14
$137,315
$14,026
9.8× st 6.1×
862
Postoperative and post-traumatic infections with mcc
14
$212,897
$27,558
7.7× st 5.9×
813
Coagulation disorders
14
$172,201
$55,711
3.1× st 5.8×
948
Signs and symptoms without mcc
14
$71,797
$10,424
6.9× st 7.3×
175
Pulmonary embolism with mcc or acute cor pulmonale
14
$153,642
$17,363
8.8× st 7.2×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
13
$249,968
$27,513
9.1× st 6.6×
054
Nervous system neoplasms with mcc
13
$271,139
$17,348
15.6× st 7.6×
885
Psychoses
13
$95,859
$17,962
5.3× st 3.1×
393
Other digestive system diagnoses with mcc
13
$205,565
$20,156
10.2× st 5.8×
919
Complications of treatment with mcc
13
$244,545
$23,548
10.4× st 6.0×
812
Red blood cell disorders without mcc
13
$82,782
$11,975
6.9× st 6.4×
917
Poisoning and toxic effects of drugs with mcc
12
$158,197
$19,709
8.0× st 6.2×
083
Traumatic stupor and coma >1 hour with cc
12
$194,442
$18,405
10.6× st 8.4×
313
Chest pain
12
$95,883
$9,779
9.8× st 7.7×
194
Simple pneumonia and pleurisy with cc
12
$128,286
$10,300
12.5× st 7.5×
378
Gastrointestinal hemorrhage with cc
12
$141,007
$12,200
11.6× st 6.8×
303
Atherosclerosis without mcc
12
$71,633
$8,942
8.0× st 8.2×
206
Other respiratory system diagnoses without mcc
12
$156,539
$11,243
13.9× st 6.1×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
12
$993,068
$78,732
12.6× st 5.5×
478
Biopsies of musculoskeletal system and connective tissue with cc
11
$316,189
$30,174
10.5× st 7.9×
388
Gastrointestinal obstruction with mcc
11
$124,922
$18,913
6.6× st 6.5×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
11
$95,442
$11,070
8.6× st 7.5×
061
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
11
$450,524
$31,979
14.1× st 10.0×
243
Permanent cardiac pacemaker implant with cc
11
$233,671
$31,823
7.3× st 6.7×
854
Infectious and parasitic diseases with o.r. procedures with cc
11
$201,333
$25,424
7.9× st 6.7×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
11
$1,130,507
$81,334
13.9× st 7.0×
202
Bronchitis and asthma with cc/mcc
11
$89,777
$12,651
7.1× st 7.4×
086
Traumatic stupor and coma <1 hour with cc
11
$168,507
$16,714
10.1× st 7.9×
103
Headaches without mcc
11
$146,898
$11,294
13.0× st 7.0×
149
Dysequilibrium
11
$114,978
$10,131
11.3× st 8.8×
191
Chronic obstructive pulmonary disease with cc
11
$87,706
$11,535
7.6× st 7.3×