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
605
$96,808
$23,021
4.2× st 6.2×
291
Heart failure and shock with mcc
179
$76,669
$15,026
5.1× st 6.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
103
$54,653
$13,212
4.1× st 6.1×
280
Acute myocardial infarction, discharged alive with mcc
92
$90,248
$18,615
4.8× st 6.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
73
$64,709
$14,729
4.4× st 5.7×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
68
$128,716
$25,441
5.1× st 6.4×
189
Pulmonary edema and respiratory failure
63
$76,078
$14,505
5.2× st 6.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
63
$212,494
$52,915
4.0× st 6.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
62
$68,994
$11,959
5.8× st 7.9×
698
Other kidney and urinary tract diagnoses with mcc
62
$67,793
$18,516
3.7× st 6.2×
177
Respiratory infections and inflammations with mcc
61
$81,266
$18,259
4.5× st 6.6×
683
Renal failure with cc
56
$56,989
$10,533
5.4× st 6.7×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
52
$217,329
$57,433
3.8× st 5.4×
274
Percutaneous and other intracardiac procedures without mcc
52
$182,842
$37,924
4.8× st 5.6×
193
Simple pneumonia and pleurisy with mcc
46
$79,198
$16,360
4.8× st 6.9×
682
Renal failure with mcc
46
$69,464
$16,992
4.1× st 6.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
46
$106,853
$22,170
4.8× st 7.4×
281
Acute myocardial infarction, discharged alive with cc
43
$58,887
$10,815
5.4× st 7.8×
812
Red blood cell disorders without mcc
43
$57,523
$10,596
5.4× st 6.4×
308
Cardiac arrhythmia and conduction disorders with mcc
42
$66,977
$14,657
4.6× st 6.9×
312
Syncope and collapse
42
$49,118
$10,258
4.8× st 7.2×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
41
$150,394
$22,750
6.6× st 7.8×
309
Cardiac arrhythmia and conduction disorders with cc
40
$43,535
$9,474
4.6× st 7.2×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
38
$340,381
$75,772
4.5× st 5.5×
378
Gastrointestinal hemorrhage with cc
34
$50,091
$11,661
4.3× st 6.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
33
$53,536
$9,069
5.9× st 6.3×
377
Gastrointestinal hemorrhage with mcc
33
$75,500
$19,315
3.9× st 6.4×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
32
$232,267
$33,521
6.9× st 7.4×
811
Red blood cell disorders with mcc
30
$66,161
$17,560
3.8× st 6.4×
314
Other circulatory system diagnoses with mcc
30
$80,907
$22,382
3.6× st 6.1×
870
Septicemia or severe sepsis with mv >96 hours
27
$391,524
$90,192
4.3× st 6.2×
689
Kidney and urinary tract infections with mcc
25
$49,340
$12,841
3.8× st 6.3×
243
Permanent cardiac pacemaker implant with cc
25
$117,292
$28,400
4.1× st 6.7×
552
Medical back problems without mcc
24
$54,117
$10,688
5.1× st 7.5×
229
Other cardiothoracic procedures without mcc
22
$217,495
$39,434
5.5× st 5.9×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
22
$354,867
$77,012
4.6× st 7.0×
330
Major small and large bowel procedures with cc
21
$147,127
$26,022
5.7× st 6.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
21
$40,345
$7,199
5.6× st 7.6×
481
Hip and femur procedures except major joint with cc
20
$101,262
$26,107
3.9× st 6.7×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
20
$253,012
$57,671
4.4× st 6.3×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
20
$75,694
$14,834
5.1× st 7.7×
252
Other vascular procedures with mcc
19
$170,983
$40,937
4.2× st 5.7×
069
Transient ischemia without thrombolytic
19
$60,407
$9,394
6.4× st 9.5×
270
Other major cardiovascular procedures with mcc
19
$286,130
$65,029
4.4× st 6.4×
854
Infectious and parasitic diseases with o.r. procedures with cc
18
$112,709
$23,300
4.8× st 6.7×
190
Chronic obstructive pulmonary disease with mcc
18
$56,990
$12,225
4.7× st 7.1×
091
Other disorders of nervous system with mcc
18
$56,322
$19,184
2.9× st 6.0×
813
Coagulation disorders
17
$60,534
$17,917
3.4× st 5.8×
244
Permanent cardiac pacemaker implant without cc/mcc
17
$97,861
$24,312
4.0× st 7.6×
699
Other kidney and urinary tract diagnoses with cc
17
$45,166
$11,601
3.9× st 6.1×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
17
$111,568
$21,140
5.3× st 8.9×
235
Coronary bypass without cardiac catheterization with mcc
17
$328,903
$73,797
4.5× st 7.3×
175
Pulmonary embolism with mcc or acute cor pulmonale
16
$84,631
$15,934
5.3× st 7.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
16
$124,767
$23,583
5.3× st 6.9×
057
Degenerative nervous system disorders without mcc
16
$56,209
$14,455
3.9× st 5.7×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
16
$189,417
$28,355
6.7× st 6.6×
180
Respiratory neoplasms with mcc
16
$81,605
$20,004
4.1× st 6.9×
621
O.r. procedures for obesity without cc/mcc
16
$111,064
$17,662
6.3× st 5.0×
092
Other disorders of nervous system with cc
15
$55,395
$11,746
4.7× st 6.8×
389
Gastrointestinal obstruction with cc
15
$44,830
$9,355
4.8× st 6.9×
101
Seizures without mcc
15
$58,913
$10,699
5.5× st 6.8×
178
Respiratory infections and inflammations with cc
15
$54,103
$11,324
4.8× st 7.1×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
15
$75,028
$18,824
4.0× st 5.5×
394
Other digestive system diagnoses with cc
15
$46,101
$10,950
4.2× st 6.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
15
$57,256
$9,214
6.2× st 6.8×
329
Major small and large bowel procedures with mcc
14
$287,103
$58,894
4.9× st 6.5×
393
Other digestive system diagnoses with mcc
14
$65,539
$18,728
3.5× st 5.8×
100
Seizures with mcc
14
$74,430
$21,717
3.4× st 6.2×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
13
$385,748
$102,144
3.8× st 6.5×
070
Other cerebrovascular disorders with mcc
13
$75,994
$16,736
4.5× st 5.4×
149
Dysequilibrium
13
$52,303
$8,803
5.9× st 8.8×
242
Permanent cardiac pacemaker implant with mcc
13
$197,889
$40,121
4.9× st 6.5×
273
Percutaneous and other intracardiac procedures with mcc
13
$223,207
$44,301
5.0× st 6.5×
603
Cellulitis without mcc
13
$54,653
$11,229
4.9× st 5.9×
483
Major joint or limb reattachment procedures of upper extremities
13
$115,953
$28,442
4.1× st 6.2×
917
Poisoning and toxic effects of drugs with mcc
13
$79,296
$16,878
4.7× st 6.2×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
13
$305,552
$61,620
5.0× st 6.2×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
12
$59,935
$8,137
7.4× st 8.8×
690
Kidney and urinary tract infections without mcc
12
$36,199
$9,242
3.9× st 6.6×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
12
$475,424
$128,209
3.7× st 5.4×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
12
$66,515
$14,772
4.5× st 6.5×
163
Major chest procedures with mcc
12
$266,493
$52,567
5.1× st 6.4×
444
Disorders of the biliary tract with mcc
12
$84,805
$19,021
4.5× st 7.0×
637
Diabetes with mcc
12
$60,467
$16,018
3.8× st 6.3×
432
Cirrhosis and alcoholic hepatitis with mcc
11
$80,325
$22,126
3.6× st 5.6×
199
Pneumothorax with mcc
11
$118,576
$34,329
3.5× st 7.7×
282
Acute myocardial infarction, discharged alive without cc/mcc
11
$54,807
$11,626
4.7× st 9.0×
228
Other cardiothoracic procedures with mcc
11
$325,375
$70,750
4.6× st 5.8×
215
Other heart assist system implant
11
$392,663
$115,813
3.4× st 3.4×
673
Other kidney and urinary tract procedures with mcc
11
$115,542
$42,571
2.7× st 5.8×