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
144
$150,252
$26,199
5.7× st 6.2×
291
Heart failure and shock with mcc
78
$90,225
$17,400
5.2× st 6.5×
193
Simple pneumonia and pleurisy with mcc
58
$90,843
$17,061
5.3× st 6.9×
177
Respiratory infections and inflammations with mcc
52
$151,935
$22,855
6.6× st 6.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
47
$208,964
$36,952
5.7× st 7.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
44
$142,937
$24,455
5.8× st 7.8×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
42
$91,302
$15,191
6.0× st 7.7×
280
Acute myocardial infarction, discharged alive with mcc
39
$152,408
$21,988
6.9× st 6.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
38
$88,811
$11,280
7.9× st 6.8×
378
Gastrointestinal hemorrhage with cc
36
$69,180
$13,411
5.2× st 6.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
34
$131,663
$27,348
4.8× st 6.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
30
$146,572
$26,481
5.5× st 7.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
27
$66,996
$10,989
6.1× st 6.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
26
$109,924
$14,227
7.7× st 7.9×
698
Other kidney and urinary tract diagnoses with mcc
24
$97,624
$21,890
4.5× st 6.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
23
$141,348
$18,723
7.6× st 5.7×
309
Cardiac arrhythmia and conduction disorders with cc
22
$59,283
$10,420
5.7× st 7.2×
690
Kidney and urinary tract infections without mcc
22
$65,189
$10,956
6.0× st 6.6×
603
Cellulitis without mcc
21
$66,894
$12,062
5.5× st 5.9×
689
Kidney and urinary tract infections with mcc
20
$116,105
$17,002
6.8× st 6.3×
377
Gastrointestinal hemorrhage with mcc
20
$113,659
$24,276
4.7× st 6.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
20
$83,204
$13,489
6.2× st 6.1×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
20
$291,053
$61,621
4.7× st 5.4×
853
Infectious and parasitic diseases with o.r. procedures with mcc
19
$266,855
$62,311
4.3× st 6.2×
312
Syncope and collapse
19
$90,678
$12,087
7.5× st 7.2×
069
Transient ischemia without thrombolytic
18
$87,351
$11,224
7.8× st 9.5×
189
Pulmonary edema and respiratory failure
18
$92,245
$16,916
5.5× st 6.7×
281
Acute myocardial infarction, discharged alive with cc
17
$98,355
$13,658
7.2× st 7.8×
683
Renal failure with cc
16
$62,735
$12,011
5.2× st 6.7×
552
Medical back problems without mcc
16
$98,810
$13,555
7.3× st 7.5×
481
Hip and femur procedures except major joint with cc
15
$146,407
$26,952
5.4× st 6.7×
175
Pulmonary embolism with mcc or acute cor pulmonale
15
$153,402
$19,096
8.0× st 7.2×
884
Organic disturbances and intellectual disability
15
$210,689
$28,015
7.5× st 5.3×
274
Percutaneous and other intracardiac procedures without mcc
15
$181,123
$40,735
4.4× st 5.6×
308
Cardiac arrhythmia and conduction disorders with mcc
15
$97,615
$15,832
6.2× st 6.9×
389
Gastrointestinal obstruction with cc
14
$63,591
$11,249
5.7× st 6.9×
314
Other circulatory system diagnoses with mcc
14
$144,716
$28,059
5.2× st 6.1×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
14
$260,382
$57,536
4.5× st 6.3×
299
Peripheral vascular disorders with mcc
13
$113,889
$20,871
5.5× st 6.4×
393
Other digestive system diagnoses with mcc
13
$107,608
$22,136
4.9× st 5.8×
394
Other digestive system diagnoses with cc
13
$72,338
$13,369
5.4× st 6.9×
682
Renal failure with mcc
13
$91,238
$19,118
4.8× st 6.1×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
12
$284,156
$69,290
4.1× st 6.2×
813
Coagulation disorders
12
$104,419
$21,221
4.9× st 5.8×
194
Simple pneumonia and pleurisy with cc
12
$73,198
$11,593
6.3× st 7.5×
149
Dysequilibrium
12
$68,739
$10,335
6.7× st 8.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
12
$57,797
$8,057
7.2× st 7.6×
313
Chest pain
12
$72,033
$9,436
7.6× st 7.7×
432
Cirrhosis and alcoholic hepatitis with mcc
12
$166,745
$25,347
6.6× st 5.6×
637
Diabetes with mcc
12
$100,827
$19,634
5.1× st 6.3×
699
Other kidney and urinary tract diagnoses with cc
12
$66,600
$14,029
4.7× st 6.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
11
$150,756
$27,303
5.5× st 6.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
11
$138,305
$16,887
8.2× st 6.5×
444
Disorders of the biliary tract with mcc
11
$126,372
$23,152
5.5× st 7.0×
305
Hypertension without mcc
11
$69,739
$10,520
6.6× st 7.3×
190
Chronic obstructive pulmonary disease with mcc
11
$63,134
$14,915
4.2× st 7.1×
374
Digestive malignancy with mcc
11
$130,993
$26,607
4.9× st 7.0×
101
Seizures without mcc
11
$78,798
$12,679
6.2× st 6.8×
948
Signs and symptoms without mcc
11
$75,748
$11,297
6.7× st 7.3×