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
167
$98,668
$13,804
7.1× st 7.2×
690
Kidney and urinary tract infections without mcc
84
$46,381
$6,817
6.8× st 6.6×
291
Heart failure and shock with mcc
68
$61,434
$9,979
6.2× st 6.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
58
$64,757
$6,754
9.6× st 7.5×
193
Simple pneumonia and pleurisy with mcc
56
$87,268
$10,074
8.7× st 7.2×
190
Chronic obstructive pulmonary disease with mcc
53
$60,958
$8,751
7.0× st 6.5×
177
Respiratory infections and inflammations with mcc
50
$79,589
$12,083
6.6× st 6.5×
689
Kidney and urinary tract infections with mcc
45
$70,938
$9,100
7.8× st 6.4×
280
Acute myocardial infarction, discharged alive with mcc
40
$87,658
$11,990
7.3× st 7.3×
378
Gastrointestinal hemorrhage with cc
37
$75,291
$7,919
9.5× st 7.4×
603
Cellulitis without mcc
37
$42,183
$7,227
5.8× st 5.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
35
$52,640
$8,348
6.3× st 7.0×
194
Simple pneumonia and pleurisy with cc
34
$49,102
$6,930
7.1× st 6.9×
178
Respiratory infections and inflammations with cc
28
$55,242
$8,648
6.4× st 6.4×
683
Renal failure with cc
27
$50,831
$7,333
6.9× st 6.7×
312
Syncope and collapse
26
$49,298
$7,286
6.8× st 7.6×
313
Chest pain
23
$48,569
$6,292
7.7× st 7.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
22
$55,928
$6,640
8.4× st 6.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
22
$77,622
$8,755
8.9× st 8.8×
309
Cardiac arrhythmia and conduction disorders with cc
22
$40,803
$6,445
6.3× st 6.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
22
$36,757
$5,145
7.1× st 7.1×
682
Renal failure with mcc
21
$73,761
$11,097
6.6× st 7.0×
281
Acute myocardial infarction, discharged alive with cc
21
$64,268
$7,655
8.4× st 8.5×
481
Hip and femur procedures except major joint with cc
20
$171,324
$16,753
10.2× st 8.8×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
20
$94,304
$9,047
10.4× st 8.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
20
$173,666
$15,269
11.4× st 8.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
20
$218,514
$22,515
9.7× st 9.0×
698
Other kidney and urinary tract diagnoses with mcc
19
$123,429
$11,966
10.3× st 6.7×
638
Diabetes with cc
18
$45,321
$7,495
6.0× st 6.5×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
17
$175,314
$13,734
12.8× st 9.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
16
$61,184
$10,088
6.1× st 6.7×
389
Gastrointestinal obstruction with cc
16
$66,420
$6,708
9.9× st 7.1×
208
Respiratory system diagnosis with ventilator support <=96 hours
16
$171,988
$19,480
8.8× st 7.3×
191
Chronic obstructive pulmonary disease with cc
15
$56,818
$7,134
8.0× st 7.1×
699
Other kidney and urinary tract diagnoses with cc
15
$45,723
$8,150
5.6× st 6.1×
300
Peripheral vascular disorders with cc
15
$57,498
$8,638
6.7× st 6.3×
377
Gastrointestinal hemorrhage with mcc
14
$110,585
$12,026
9.2× st 7.2×
282
Acute myocardial infarction, discharged alive without cc/mcc
14
$46,153
$6,297
7.3× st 9.0×
071
Other cerebrovascular disorders with cc
13
$53,477
$7,852
6.8× st 6.3×
329
Major small and large bowel procedures with mcc
13
$429,227
$31,150
13.8× st 7.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
13
$89,668
$10,080
8.9× st 6.8×
482
Hip and femur procedures except major joint without cc/mcc
13
$146,121
$12,259
11.9× st 8.1×
552
Medical back problems without mcc
12
$53,098
$8,366
6.3× st 7.8×
292
Heart failure and shock with cc
12
$38,042
$7,201
5.3× st 4.4×
308
Cardiac arrhythmia and conduction disorders with mcc
12
$72,874
$10,430
7.0× st 6.6×
536
Fractures of hip and pelvis without mcc
12
$51,769
$6,399
8.1× st 7.4×
064
Intracranial hemorrhage or cerebral infarction with mcc
11
$100,952
$14,328
7.0× st 7.8×
660
Kidney and ureter procedures for non-neoplasm with cc
11
$131,009
$10,271
12.8× st 8.1×
176
Pulmonary embolism without mcc
11
$50,230
$6,821
7.4× st 7.2×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
11
$123,607
$16,257
7.6× st 7.0×