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
333
$59,564
$17,989
3.3× st 3.3×
177
Respiratory infections and inflammations with mcc
163
$52,882
$15,433
3.4× st 3.2×
291
Heart failure and shock with mcc
125
$41,941
$12,050
3.5× st 3.7×
193
Simple pneumonia and pleurisy with mcc
83
$51,215
$12,159
4.2× st 3.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
56
$30,885
$10,073
3.1× st 3.4×
689
Kidney and urinary tract infections with mcc
54
$37,723
$10,538
3.6× st 3.4×
683
Renal failure with cc
52
$26,135
$7,966
3.3× st 3.5×
309
Cardiac arrhythmia and conduction disorders with cc
47
$25,025
$6,905
3.6× st 3.8×
690
Kidney and urinary tract infections without mcc
46
$27,876
$7,388
3.8× st 3.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
46
$23,817
$7,570
3.1× st 3.7×
603
Cellulitis without mcc
46
$23,113
$8,087
2.9× st 3.1×
682
Renal failure with mcc
43
$38,359
$12,799
3.0× st 3.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
42
$41,843
$12,036
3.5× st 3.5×
698
Other kidney and urinary tract diagnoses with mcc
40
$43,382
$14,892
2.9× st 3.1×
189
Pulmonary edema and respiratory failure
37
$42,126
$13,080
3.2× st 3.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
37
$139,722
$45,407
3.1× st 3.5×
481
Hip and femur procedures except major joint with cc
32
$67,765
$18,575
3.6× st 3.4×
064
Intracranial hemorrhage or cerebral infarction with mcc
31
$48,248
$17,601
2.7× st 3.9×
194
Simple pneumonia and pleurisy with cc
31
$22,992
$7,599
3.0× st 3.5×
377
Gastrointestinal hemorrhage with mcc
30
$47,143
$15,676
3.0× st 3.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
28
$95,628
$19,412
4.9× st 3.4×
308
Cardiac arrhythmia and conduction disorders with mcc
27
$39,642
$11,864
3.3× st 3.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
26
$36,374
$9,201
4.0× st 3.9×
178
Respiratory infections and inflammations with cc
26
$34,496
$9,068
3.8× st 3.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
25
$90,717
$19,183
4.7× st 3.3×
552
Medical back problems without mcc
23
$32,436
$8,976
3.6× st 3.8×
280
Acute myocardial infarction, discharged alive with mcc
23
$46,395
$13,445
3.5× st 3.7×
378
Gastrointestinal hemorrhage with cc
23
$32,546
$9,135
3.6× st 3.9×
312
Syncope and collapse
22
$35,044
$7,703
4.5× st 4.1×
811
Red blood cell disorders with mcc
21
$40,944
$14,366
2.9× st 3.2×
329
Major small and large bowel procedures with mcc
21
$138,335
$44,878
3.1× st 3.2×
305
Hypertension without mcc
20
$24,798
$8,165
3.0× st 4.1×
813
Coagulation disorders
20
$38,777
$13,723
2.8× st 3.4×
202
Bronchitis and asthma with cc/mcc
19
$30,553
$8,571
3.6× st 3.5×
699
Other kidney and urinary tract diagnoses with cc
18
$25,306
$9,116
2.8× st 3.4×
812
Red blood cell disorders without mcc
18
$32,491
$8,812
3.7× st 3.4×
454
Combined anterior and posterior spinal fusion with cc
18
$280,530
$76,571
3.7× st 2.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
18
$33,283
$7,249
4.6× st 3.8×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
17
$35,943
$11,815
3.0× st 3.4×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
16
$31,471
$8,530
3.7× st 3.1×
393
Other digestive system diagnoses with mcc
16
$36,829
$15,020
2.5× st 3.1×
521
Hip replacement with principal diagnosis of hip fracture with mcc
16
$108,822
$25,866
4.2× st 3.2×
281
Acute myocardial infarction, discharged alive with cc
15
$21,614
$8,713
2.5× st 4.0×
057
Degenerative nervous system disorders without mcc
15
$47,656
$12,448
3.8× st 3.8×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
14
$31,315
$8,216
3.8× st 3.8×
205
Other respiratory system diagnoses with mcc
14
$50,716
$13,950
3.6× st 2.8×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
14
$39,923
$10,438
3.8× st 3.5×
330
Major small and large bowel procedures with cc
14
$103,434
$21,706
4.8× st 3.4×
602
Cellulitis with mcc
14
$37,235
$13,231
2.8× st 3.5×
480
Hip and femur procedures except major joint with mcc
13
$90,185
$28,618
3.2× st 3.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
13
$64,473
$19,990
3.2× st 4.1×
371
Major gastrointestinal disorders and peritoneal infections with mcc
13
$47,757
$15,820
3.0× st 3.1×
389
Gastrointestinal obstruction with cc
13
$19,951
$7,378
2.7× st 3.5×
190
Chronic obstructive pulmonary disease with mcc
13
$50,427
$10,364
4.9× st 3.9×
435
Malignancy of hepatobiliary system or pancreas with mcc
13
$58,383
$16,556
3.5× st 3.3×
086
Traumatic stupor and coma <1 hour with cc
12
$46,212
$11,174
4.1× st 3.7×
467
Revision of hip or knee replacement with cc
12
$148,121
$29,724
5.0× st 2.9×
638
Diabetes with cc
12
$22,290
$8,440
2.6× st 3.4×
535
Fractures of hip and pelvis with mcc
12
$48,362
$12,276
3.9× st 3.5×
082
Traumatic stupor and coma >1 hour with mcc
11
$39,608
$21,006
1.9× st 3.1×
100
Seizures with mcc
11
$74,035
$16,532
4.5× st 3.5×
884
Organic disturbances and intellectual disability
11
$49,788
$13,548
3.7× st 3.5×
180
Respiratory neoplasms with mcc
11
$82,033
$16,340
5.0× st 3.7×
314
Other circulatory system diagnoses with mcc
11
$56,375
$18,625
3.0× st 3.2×
315
Other circulatory system diagnoses with cc
11
$26,180
$8,731
3.0× st 3.2×
551
Medical back problems with mcc
11
$49,354
$15,200
3.2× st 3.4×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
11
$39,002
$9,434
4.1× st 3.4×
919
Complications of treatment with mcc
11
$49,152
$16,956
2.9× st 3.3×