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
578
$120,225
$22,273
5.4× st 6.2×
291
Heart failure and shock with mcc
231
$84,708
$14,163
6.0× st 6.5×
177
Respiratory infections and inflammations with mcc
185
$103,235
$18,015
5.7× st 6.6×
274
Percutaneous and other intracardiac procedures without mcc
133
$140,451
$33,278
4.2× st 5.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
124
$60,815
$11,320
5.4× st 6.1×
885
Psychoses
110
$44,816
$14,657
3.1× st 3.1×
378
Gastrointestinal hemorrhage with cc
103
$54,861
$10,565
5.2× st 6.8×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
100
$110,477
$19,672
5.6× st 6.4×
064
Intracranial hemorrhage or cerebral infarction with mcc
97
$137,051
$22,495
6.1× st 7.4×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
90
$38,565
$9,268
4.2× st 5.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
90
$325,531
$60,974
5.3× st 6.2×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
88
$220,433
$54,874
4.0× st 5.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
88
$72,323
$11,886
6.1× st 7.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
87
$47,887
$8,557
5.6× st 6.8×
193
Simple pneumonia and pleurisy with mcc
80
$81,541
$14,197
5.7× st 6.9×
690
Kidney and urinary tract infections without mcc
71
$45,454
$9,155
5.0× st 6.6×
552
Medical back problems without mcc
63
$53,270
$10,513
5.1× st 7.5×
481
Hip and femur procedures except major joint with cc
53
$120,472
$22,480
5.4× st 6.7×
683
Renal failure with cc
52
$51,239
$9,813
5.2× st 6.7×
189
Pulmonary edema and respiratory failure
50
$97,467
$13,549
7.2× st 6.7×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
49
$85,454
$13,043
6.6× st 5.9×
309
Cardiac arrhythmia and conduction disorders with cc
49
$50,720
$8,507
6.0× st 7.2×
178
Respiratory infections and inflammations with cc
49
$73,226
$12,158
6.0× st 7.1×
698
Other kidney and urinary tract diagnoses with mcc
48
$94,673
$18,422
5.1× st 6.2×
330
Major small and large bowel procedures with cc
46
$134,312
$24,308
5.5× st 6.9×
603
Cellulitis without mcc
45
$50,238
$9,463
5.3× st 5.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
44
$125,359
$19,045
6.6× st 7.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
43
$182,607
$34,645
5.3× st 7.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
42
$40,906
$8,387
4.9× st 6.3×
377
Gastrointestinal hemorrhage with mcc
42
$108,794
$19,561
5.6× st 6.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
42
$73,639
$13,917
5.3× st 5.7×
194
Simple pneumonia and pleurisy with cc
41
$59,982
$8,885
6.8× st 7.5×
057
Degenerative nervous system disorders without mcc
40
$65,535
$14,066
4.7× st 5.7×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
40
$381,151
$65,819
5.8× st 6.2×
025
Craniotomy and endovascular intracranial procedures with mcc
39
$263,231
$51,453
5.1× st 6.5×
682
Renal failure with mcc
38
$82,228
$16,761
4.9× st 6.1×
101
Seizures without mcc
36
$63,707
$9,863
6.5× st 6.8×
308
Cardiac arrhythmia and conduction disorders with mcc
35
$69,739
$13,971
5.0× st 6.9×
699
Other kidney and urinary tract diagnoses with cc
35
$47,765
$11,076
4.3× st 6.1×
280
Acute myocardial infarction, discharged alive with mcc
34
$107,072
$17,189
6.2× st 6.6×
948
Signs and symptoms without mcc
34
$50,262
$8,625
5.8× st 7.3×
522
Hip replacement with principal diagnosis of hip fracture without mcc
34
$112,420
$22,027
5.1× st 6.9×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
34
$48,170
$9,770
4.9× st 6.9×
329
Major small and large bowel procedures with mcc
34
$281,555
$49,691
5.7× st 6.5×
394
Other digestive system diagnoses with cc
33
$62,019
$10,067
6.2× st 6.9×
689
Kidney and urinary tract infections with mcc
33
$72,030
$12,166
5.9× st 6.3×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
32
$312,436
$62,294
5.0× st 5.5×
331
Major small and large bowel procedures without cc/mcc
30
$94,199
$17,474
5.4× st 6.6×
390
Gastrointestinal obstruction without cc/mcc
30
$31,189
$6,070
5.1× st 7.0×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
30
$280,607
$56,736
4.9× st 6.3×
190
Chronic obstructive pulmonary disease with mcc
30
$70,865
$11,553
6.1× st 7.1×
520
Back and neck procedures except spinal fusion without cc/mcc
29
$66,220
$16,284
4.1× st 8.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
28
$106,237
$22,776
4.7× st 6.6×
100
Seizures with mcc
28
$127,014
$22,296
5.7× st 6.2×
435
Malignancy of hepatobiliary system or pancreas with mcc
28
$134,913
$18,819
7.2× st 6.8×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
28
$73,231
$13,664
5.4× st 6.5×
175
Pulmonary embolism with mcc or acute cor pulmonale
27
$89,192
$14,882
6.0× st 7.2×
184
Major chest trauma with cc
27
$65,324
$13,247
4.9× st 8.8×
389
Gastrointestinal obstruction with cc
25
$48,346
$8,603
5.6× st 6.9×
243
Permanent cardiac pacemaker implant with cc
25
$118,224
$23,620
5.0× st 6.7×
519
Back and neck procedures except spinal fusion with cc
25
$80,496
$20,700
3.9× st 7.2×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
24
$51,017
$9,583
5.3× st 6.9×
092
Other disorders of nervous system with cc
24
$61,964
$11,051
5.6× st 6.8×
271
Other major cardiovascular procedures with cc
24
$176,985
$41,452
4.3× st 5.8×
854
Infectious and parasitic diseases with o.r. procedures with cc
23
$99,951
$22,992
4.3× st 6.7×
314
Other circulatory system diagnoses with mcc
23
$138,853
$27,589
5.0× st 6.1×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
23
$87,141
$21,313
4.1× st 6.7×
454
Combined anterior and posterior spinal fusion with cc
23
$247,121
$74,857
3.3× st 5.5×
455
Combined anterior and posterior spinal fusion without cc/mcc
23
$221,221
$47,411
4.7× st 5.5×
884
Organic disturbances and intellectual disability
23
$57,521
$18,092
3.2× st 5.3×
270
Other major cardiovascular procedures with mcc
22
$333,760
$61,386
5.4× st 6.4×
536
Fractures of hip and pelvis without mcc
22
$44,110
$8,627
5.1× st 7.0×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
22
$84,913
$11,073
7.7× st 7.4×
180
Respiratory neoplasms with mcc
22
$195,814
$33,834
5.8× st 6.9×
644
Endocrine disorders with cc
21
$51,407
$11,233
4.6× st 6.5×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
21
$169,256
$26,182
6.5× st 6.7×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
21
$77,175
$13,166
5.9× st 8.8×
253
Other vascular procedures with cc
20
$152,136
$28,795
5.3× st 6.7×
480
Hip and femur procedures except major joint with mcc
20
$157,774
$30,627
5.2× st 6.8×
176
Pulmonary embolism without mcc
20
$64,093
$10,496
6.1× st 7.9×
312
Syncope and collapse
20
$52,718
$10,521
5.0× st 7.2×
460
Spinal fusion except cervical without mcc
19
$215,990
$45,507
4.7× st 5.6×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
19
$112,896
$24,098
4.7× st 7.5×
273
Percutaneous and other intracardiac procedures with mcc
19
$199,163
$41,177
4.8× st 6.5×
242
Permanent cardiac pacemaker implant with mcc
19
$194,105
$37,787
5.1× st 6.5×
036
Carotid artery stent procedures without cc/mcc
18
$129,932
$18,889
6.9× st 5.5×
660
Kidney and ureter procedures for non-neoplasm with cc
18
$79,520
$14,222
5.6× st 7.1×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
18
$267,646
$54,270
4.9× st 6.5×
164
Major chest procedures with cc
18
$177,170
$26,592
6.7× st 6.3×
482
Hip and femur procedures except major joint without cc/mcc
18
$86,727
$16,721
5.2× st 6.7×
281
Acute myocardial infarction, discharged alive with cc
18
$54,851
$9,808
5.6× st 7.8×
393
Other digestive system diagnoses with mcc
18
$84,777
$17,501
4.8× st 5.8×
035
Carotid artery stent procedures with cc
18
$174,590
$24,019
7.3× st 5.5×
638
Diabetes with cc
18
$51,241
$9,783
5.2× st 6.3×
252
Other vascular procedures with mcc
17
$226,243
$37,758
6.0× st 5.7×
521
Hip replacement with principal diagnosis of hip fracture with mcc
17
$174,063
$31,033
5.6× st 7.1×
659
Kidney and ureter procedures for non-neoplasm with mcc
17
$111,080
$26,846
4.1× st 6.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
17
$178,499
$29,423
6.1× st 7.4×
202
Bronchitis and asthma with cc/mcc
17
$59,785
$12,963
4.6× st 7.4×
086
Traumatic stupor and coma <1 hour with cc
17
$75,495
$13,925
5.4× st 7.9×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
17
$250,258
$43,509
5.8× st 5.1×
919
Complications of treatment with mcc
17
$116,575
$19,933
5.8× st 6.0×
374
Digestive malignancy with mcc
17
$218,911
$27,632
7.9× st 7.0×
315
Other circulatory system diagnoses with cc
17
$46,582
$10,305
4.5× st 6.7×
292
Heart failure and shock with cc
17
$50,134
$9,228
5.4× st 5.8×
812
Red blood cell disorders without mcc
17
$48,176
$12,322
3.9× st 6.4×
643
Endocrine disorders with mcc
16
$88,699
$17,381
5.1× st 6.5×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
16
$269,610
$55,425
4.9× st 6.7×
862
Postoperative and post-traumatic infections with mcc
16
$93,945
$19,488
4.8× st 5.9×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
16
$186,324
$25,660
7.3× st 6.5×
299
Peripheral vascular disorders with mcc
16
$99,574
$16,832
5.9× st 6.4×
813
Coagulation disorders
16
$50,607
$16,403
3.1× st 5.8×
418
Laparoscopic cholecystectomy without c.d.e. with cc
16
$91,001
$17,296
5.3× st 7.9×
166
Other respiratory system o.r. procedures with mcc
15
$211,315
$46,696
4.5× st 6.7×
637
Diabetes with mcc
15
$72,715
$15,207
4.8× st 6.3×
205
Other respiratory system diagnoses with mcc
15
$119,599
$19,621
6.1× st 6.2×
071
Other cerebrovascular disorders with cc
15
$67,510
$10,471
6.4× st 6.1×
082
Traumatic stupor and coma >1 hour with mcc
15
$130,010
$25,666
5.1× st 7.7×
085
Traumatic stupor and coma <1 hour with mcc
15
$96,372
$23,690
4.1× st 7.1×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
15
$73,908
$10,330
7.2× st 6.2×
432
Cirrhosis and alcoholic hepatitis with mcc
15
$103,187
$20,319
5.1× st 5.6×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
15
$73,130
$18,377
4.0× st 7.4×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
15
$138,051
$25,056
5.5× st 6.5×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
14
$63,505
$18,420
3.4× st 5.5×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
14
$107,266
$19,679
5.5× st 5.5×
433
Cirrhosis and alcoholic hepatitis with cc
14
$59,873
$15,589
3.8× st 5.5×
356
Other digestive system o.r. procedures with mcc
14
$227,006
$46,331
4.9× st 6.8×
372
Major gastrointestinal disorders and peritoneal infections with cc
14
$50,024
$11,091
4.5× st 6.5×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
14
$120,343
$22,518
5.3× st 7.8×
478
Biopsies of musculoskeletal system and connective tissue with cc
14
$129,318
$24,918
5.2× st 7.9×
863
Postoperative and post-traumatic infections without mcc
14
$61,832
$10,653
5.8× st 6.0×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
14
$68,685
$11,505
6.0× st 7.7×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
14
$73,404
$15,664
4.7× st 6.6×
918
Poisoning and toxic effects of drugs without mcc
13
$57,315
$9,341
6.1× st 6.2×
837
Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy a
13
$221,114
$51,199
4.3× st 3.9×
039
Extracranial procedures without cc/mcc
13
$101,936
$12,039
8.5× st 6.8×
445
Disorders of the biliary tract with cc
13
$84,705
$13,225
6.4× st 7.0×
091
Other disorders of nervous system with mcc
13
$87,865
$20,424
4.3× st 6.0×
020
Intracranial vascular procedures with principal diagnosis hemorrhage with mcc
13
$613,849
$107,977
5.7× st 5.0×
551
Medical back problems with mcc
13
$82,525
$16,651
5.0× st 7.0×
236
Coronary bypass without cardiac catheterization without mcc
13
$194,347
$49,229
3.9× st 7.2×
191
Chronic obstructive pulmonary disease with cc
13
$82,925
$10,686
7.8× st 7.3×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
13
$337,105
$80,724
4.2× st 7.0×
494
Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
12
$123,785
$19,737
6.3× st 7.1×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
12
$33,091
$6,061
5.5× st 7.6×
183
Major chest trauma with mcc
12
$114,389
$19,621
5.8× st 7.7×
917
Poisoning and toxic effects of drugs with mcc
12
$116,414
$16,998
6.8× st 6.2×
920
Complications of treatment with cc
12
$46,349
$10,973
4.2× st 6.7×
179
Respiratory infections and inflammations without cc/mcc
12
$53,795
$8,271
6.5× st 6.5×
673
Other kidney and urinary tract procedures with mcc
12
$197,190
$44,797
4.4× st 5.8×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
12
$289,822
$59,879
4.8× st 5.8×
083
Traumatic stupor and coma >1 hour with cc
12
$78,672
$14,453
5.4× st 8.4×
074
Cranial and peripheral nerve disorders without mcc
12
$74,419
$11,104
6.7× st 6.2×
149
Dysequilibrium
12
$35,645
$8,024
4.4× st 8.8×
327
Stomach, esophageal and duodenal procedures with cc
12
$132,471
$25,948
5.1× st 6.1×
269
Aortic and heart assist procedures except pulsation balloon without mcc
12
$236,353
$57,822
4.1× st 5.5×
336
Peritoneal adhesiolysis with cc
11
$99,062
$22,063
4.5× st 6.7×
406
Pancreas, liver and shunt procedures with cc
11
$167,940
$29,916
5.6× st 6.1×
326
Stomach, esophageal and duodenal procedures with mcc
11
$171,434
$47,868
3.6× st 6.1×
375
Digestive malignancy with cc
11
$74,932
$12,993
5.8× st 6.9×
472
Cervical spinal fusion with cc
11
$150,070
$30,666
4.9× st 6.1×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
11
$117,705
$19,429
6.1× st 8.9×
841
Lymphoma and non-acute leukemia with cc
11
$146,725
$20,353
7.2× st 8.3×