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
180
$64,966
$13,128
4.9× st 5.0×
291
Heart failure and shock with mcc
157
$32,460
$8,605
3.8× st 4.4×
274
Percutaneous and other intracardiac procedures without mcc
126
$78,764
$20,782
3.8× st 5.3×
189
Pulmonary edema and respiratory failure
52
$39,740
$8,497
4.7× st 4.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
48
$56,248
$12,971
4.3× st 6.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
44
$40,596
$7,664
5.3× st 5.6×
312
Syncope and collapse
42
$27,567
$6,009
4.6× st 4.7×
683
Renal failure with cc
42
$28,421
$6,172
4.6× st 4.1×
378
Gastrointestinal hemorrhage with cc
41
$31,608
$6,847
4.6× st 4.8×
193
Simple pneumonia and pleurisy with mcc
40
$41,682
$8,647
4.8× st 4.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
39
$36,773
$7,401
5.0× st 5.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
39
$35,289
$6,803
5.2× st 4.5×
481
Hip and femur procedures except major joint with cc
39
$81,972
$14,818
5.5× st 6.0×
690
Kidney and urinary tract infections without mcc
37
$24,793
$5,408
4.6× st 4.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
36
$65,362
$13,454
4.9× st 5.7×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
34
$194,896
$39,382
4.9× st 5.4×
698
Other kidney and urinary tract diagnoses with mcc
34
$50,904
$10,400
4.9× st 4.5×
039
Extracranial procedures without cc/mcc
33
$43,233
$7,816
5.5× st 6.4×
689
Kidney and urinary tract infections with mcc
33
$36,538
$7,624
4.8× st 4.5×
313
Chest pain
33
$27,813
$5,007
5.6× st 5.1×
309
Cardiac arrhythmia and conduction disorders with cc
32
$22,904
$5,255
4.4× st 4.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
32
$31,381
$5,375
5.8× st 4.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
30
$22,162
$5,618
3.9× st 4.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
30
$69,080
$12,626
5.5× st 5.8×
177
Respiratory infections and inflammations with mcc
29
$42,318
$10,736
3.9× st 4.6×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
28
$66,712
$13,773
4.8× st 4.9×
603
Cellulitis without mcc
27
$21,669
$6,179
3.5× st 3.9×
308
Cardiac arrhythmia and conduction disorders with mcc
27
$36,042
$7,973
4.5× st 5.0×
455
Combined anterior and posterior spinal fusion without cc/mcc
26
$134,481
$30,245
4.4× st 5.2×
460
Spinal fusion except cervical without mcc
26
$108,576
$22,521
4.8× st 5.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
25
$144,713
$31,073
4.7× st 5.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
24
$92,506
$13,981
6.6× st 5.1×
482
Hip and femur procedures except major joint without cc/mcc
23
$55,137
$10,139
5.4× st 5.8×
812
Red blood cell disorders without mcc
23
$34,427
$6,451
5.3× st 3.9×
377
Gastrointestinal hemorrhage with mcc
22
$50,794
$11,741
4.3× st 5.1×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
22
$22,618
$4,263
5.3× st 4.4×
280
Acute myocardial infarction, discharged alive with mcc
22
$48,380
$10,194
4.7× st 5.6×
552
Medical back problems without mcc
21
$25,557
$6,436
4.0× st 4.6×
468
Revision of hip or knee replacement without cc/mcc
20
$98,097
$16,987
5.8× st 5.9×
480
Hip and femur procedures except major joint with mcc
19
$95,247
$17,861
5.3× st 5.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
19
$98,192
$20,388
4.8× st 6.4×
638
Diabetes with cc
19
$27,181
$6,618
4.1× st 4.0×
467
Revision of hip or knee replacement with cc
19
$142,714
$21,397
6.7× st 6.4×
305
Hypertension without mcc
19
$22,787
$5,078
4.5× st 5.0×
472
Cervical spinal fusion with cc
17
$77,916
$18,378
4.2× st 4.8×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
17
$22,996
$5,112
4.5× st 4.9×
682
Renal failure with mcc
17
$57,080
$9,574
6.0× st 4.7×
314
Other circulatory system diagnoses with mcc
17
$58,463
$13,313
4.4× st 4.1×
229
Other cardiothoracic procedures without mcc
16
$103,473
$20,435
5.1× st 6.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
16
$29,064
$8,632
3.4× st 4.5×
236
Coronary bypass without cardiac catheterization without mcc
16
$179,170
$25,776
7.0× st 5.7×
811
Red blood cell disorders with mcc
15
$37,504
$9,212
4.1× st 4.7×
536
Fractures of hip and pelvis without mcc
15
$14,265
$5,289
2.7× st 4.3×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
15
$17,667
$6,137
2.9× st 4.5×
281
Acute myocardial infarction, discharged alive with cc
15
$37,513
$6,369
5.9× st 5.9×
190
Chronic obstructive pulmonary disease with mcc
14
$32,938
$7,383
4.5× st 4.8×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
14
$200,387
$40,719
4.9× st 5.3×
057
Degenerative nervous system disorders without mcc
13
$30,179
$8,188
3.7× st 3.6×
178
Respiratory infections and inflammations with cc
13
$34,236
$6,740
5.1× st 4.5×
036
Carotid artery stent procedures without cc/mcc
13
$58,200
$11,654
5.0× st 6.5×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
13
$175,110
$29,881
5.9× st 6.0×
473
Cervical spinal fusion without cc/mcc
13
$74,332
$15,187
4.9× st 5.4×
637
Diabetes with mcc
13
$45,859
$9,414
4.9× st 4.8×
168
Other respiratory system o.r. procedures without cc/mcc
12
$39,596
$9,578
4.1× st 4.1×
282
Acute myocardial infarction, discharged alive without cc/mcc
12
$34,436
$5,241
6.6× st 5.8×
699
Other kidney and urinary tract diagnoses with cc
12
$24,506
$6,837
3.6× st 3.6×
071
Other cerebrovascular disorders with cc
12
$31,296
$7,238
4.3× st 3.9×
070
Other cerebrovascular disorders with mcc
11
$37,879
$11,097
3.4× st 4.2×
870
Septicemia or severe sepsis with mv >96 hours
11
$219,411
$43,326
5.1× st 5.4×
164
Major chest procedures with cc
11
$81,661
$17,725
4.6× st 5.4×
269
Aortic and heart assist procedures except pulsation balloon without mcc
11
$133,322
$25,776
5.2× st 5.7×
948
Signs and symptoms without mcc
11
$23,204
$6,207
3.7× st 4.3×