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
316
$104,343
$21,637
4.8× st 6.2×
291
Heart failure and shock with mcc
127
$82,576
$14,877
5.6× st 6.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
88
$58,462
$11,857
4.9× st 6.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
51
$69,482
$14,340
4.8× st 5.7×
189
Pulmonary edema and respiratory failure
50
$88,533
$15,117
5.9× st 6.7×
193
Simple pneumonia and pleurisy with mcc
46
$95,248
$15,147
6.3× st 6.9×
177
Respiratory infections and inflammations with mcc
41
$82,780
$18,541
4.5× st 6.6×
378
Gastrointestinal hemorrhage with cc
38
$62,940
$11,453
5.5× st 6.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
37
$187,083
$50,290
3.7× st 6.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
34
$185,299
$33,658
5.5× st 7.4×
377
Gastrointestinal hemorrhage with mcc
30
$88,840
$23,779
3.7× st 6.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
28
$51,201
$9,385
5.5× st 6.8×
190
Chronic obstructive pulmonary disease with mcc
28
$81,158
$12,815
6.3× st 7.1×
308
Cardiac arrhythmia and conduction disorders with mcc
26
$78,920
$14,009
5.6× st 6.9×
309
Cardiac arrhythmia and conduction disorders with cc
24
$55,773
$13,308
4.2× st 7.2×
690
Kidney and urinary tract infections without mcc
24
$46,807
$9,487
4.9× st 6.6×
280
Acute myocardial infarction, discharged alive with mcc
23
$86,627
$17,270
5.0× st 6.6×
683
Renal failure with cc
22
$54,883
$10,434
5.3× st 6.7×
698
Other kidney and urinary tract diagnoses with mcc
20
$63,773
$16,476
3.9× st 6.2×
689
Kidney and urinary tract infections with mcc
19
$66,096
$12,873
5.1× st 6.3×
812
Red blood cell disorders without mcc
19
$66,016
$10,780
6.1× st 6.4×
811
Red blood cell disorders with mcc
17
$75,124
$16,244
4.6× st 6.4×
305
Hypertension without mcc
17
$58,338
$8,987
6.5× st 7.3×
854
Infectious and parasitic diseases with o.r. procedures with cc
17
$103,325
$22,955
4.5× st 6.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
16
$146,050
$36,008
4.1× st 7.8×
312
Syncope and collapse
16
$72,654
$15,524
4.7× st 7.2×
682
Renal failure with mcc
16
$93,059
$16,682
5.6× st 6.1×
870
Septicemia or severe sepsis with mv >96 hours
15
$383,308
$91,629
4.2× st 6.2×
329
Major small and large bowel procedures with mcc
14
$236,524
$54,290
4.4× st 6.5×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
14
$85,708
$12,477
6.9× st 7.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
13
$69,707
$11,392
6.1× st 7.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
13
$44,813
$6,795
6.6× st 7.6×
481
Hip and femur procedures except major joint with cc
13
$105,856
$23,047
4.6× st 6.7×
638
Diabetes with cc
12
$38,796
$9,839
3.9× st 6.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
12
$63,813
$14,830
4.3× st 6.5×
393
Other digestive system diagnoses with mcc
11
$84,024
$18,738
4.5× st 5.8×
394
Other digestive system diagnoses with cc
11
$44,893
$11,164
4.0× st 6.9×
637
Diabetes with mcc
11
$67,577
$16,018
4.2× st 6.3×
202
Bronchitis and asthma with cc/mcc
11
$74,663
$11,294
6.6× st 7.4×
178
Respiratory infections and inflammations with cc
11
$49,216
$11,538
4.3× st 7.1×