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
418
$109,140
$22,504
4.9× st 6.2×
291
Heart failure and shock with mcc
106
$68,972
$14,344
4.8× st 6.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
82
$58,679
$11,707
5.0× st 6.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
63
$80,934
$11,726
6.9× st 7.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
54
$138,631
$27,834
5.0× st 7.4×
177
Respiratory infections and inflammations with mcc
52
$99,020
$18,315
5.4× st 6.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
51
$214,460
$56,631
3.8× st 6.2×
193
Simple pneumonia and pleurisy with mcc
41
$83,109
$14,919
5.6× st 6.9×
698
Other kidney and urinary tract diagnoses with mcc
40
$87,978
$22,450
3.9× st 6.2×
481
Hip and femur procedures except major joint with cc
37
$117,877
$23,110
5.1× st 6.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
34
$62,570
$16,129
3.9× st 5.7×
683
Renal failure with cc
33
$54,971
$10,457
5.3× st 6.7×
682
Renal failure with mcc
31
$80,536
$18,268
4.4× st 6.1×
189
Pulmonary edema and respiratory failure
30
$79,588
$13,867
5.7× st 6.7×
025
Craniotomy and endovascular intracranial procedures with mcc
27
$280,868
$53,818
5.2× st 6.5×
552
Medical back problems without mcc
25
$67,461
$11,279
6.0× st 7.5×
312
Syncope and collapse
22
$63,910
$11,974
5.3× st 7.2×
603
Cellulitis without mcc
22
$51,025
$10,171
5.0× st 5.9×
870
Septicemia or severe sepsis with mv >96 hours
22
$430,043
$85,684
5.0× st 6.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
21
$55,236
$9,329
5.9× st 6.8×
309
Cardiac arrhythmia and conduction disorders with cc
21
$59,926
$8,682
6.9× st 7.2×
086
Traumatic stupor and coma <1 hour with cc
20
$88,635
$14,692
6.0× st 7.9×
690
Kidney and urinary tract infections without mcc
20
$48,629
$9,513
5.1× st 6.6×
638
Diabetes with cc
20
$47,948
$10,435
4.6× st 6.3×
280
Acute myocardial infarction, discharged alive with mcc
20
$73,005
$15,827
4.6× st 6.6×
389
Gastrointestinal obstruction with cc
19
$48,038
$9,401
5.1× st 6.9×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
19
$361,495
$74,398
4.9× st 6.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
18
$50,289
$8,937
5.6× st 6.3×
083
Traumatic stupor and coma >1 hour with cc
18
$97,011
$15,711
6.2× st 8.4×
378
Gastrointestinal hemorrhage with cc
16
$49,998
$11,263
4.4× st 6.8×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
16
$112,224
$21,435
5.2× st 6.4×
101
Seizures without mcc
16
$61,012
$10,846
5.6× st 6.8×
069
Transient ischemia without thrombolytic
16
$73,404
$9,470
7.8× st 9.5×
190
Chronic obstructive pulmonary disease with mcc
16
$79,528
$12,572
6.3× st 7.1×
854
Infectious and parasitic diseases with o.r. procedures with cc
15
$91,091
$22,344
4.1× st 6.7×
699
Other kidney and urinary tract diagnoses with cc
15
$53,586
$11,333
4.7× st 6.1×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
15
$59,055
$10,132
5.8× st 6.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
15
$129,900
$23,791
5.5× st 6.9×
812
Red blood cell disorders without mcc
15
$55,606
$10,643
5.2× st 6.4×
070
Other cerebrovascular disorders with mcc
14
$87,400
$19,792
4.4× st 5.4×
194
Simple pneumonia and pleurisy with cc
14
$42,953
$9,668
4.4× st 7.5×
637
Diabetes with mcc
14
$78,253
$21,511
3.6× st 6.3×
057
Degenerative nervous system disorders without mcc
13
$69,074
$15,709
4.4× st 5.7×
061
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
13
$213,114
$39,034
5.5× st 10.0×
071
Other cerebrovascular disorders with cc
13
$69,364
$12,781
5.4× st 6.1×
377
Gastrointestinal hemorrhage with mcc
12
$77,921
$20,256
3.8× st 6.4×
100
Seizures with mcc
12
$115,163
$22,499
5.1× st 6.2×
811
Red blood cell disorders with mcc
12
$82,474
$16,241
5.1× st 6.4×
418
Laparoscopic cholecystectomy without c.d.e. with cc
11
$96,762
$18,836
5.1× st 7.9×
092
Other disorders of nervous system with cc
11
$66,719
$11,310
5.9× st 6.8×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
11
$86,417
$14,726
5.9× st 6.5×
551
Medical back problems with mcc
11
$131,821
$18,097
7.3× st 7.0×
329
Major small and large bowel procedures with mcc
11
$228,512
$53,556
4.3× st 6.5×
689
Kidney and urinary tract infections with mcc
11
$64,831
$12,776
5.1× st 6.3×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
11
$70,847
$9,795
7.2× st 5.7×