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
454
$100,033
$17,353
5.8× st 4.2×
291
Heart failure and shock with mcc
237
$68,755
$12,004
5.7× st 3.9×
280
Acute myocardial infarction, discharged alive with mcc
109
$82,982
$14,985
5.5× st 4.4×
177
Respiratory infections and inflammations with mcc
105
$82,394
$14,979
5.5× st 4.2×
193
Simple pneumonia and pleurisy with mcc
93
$70,378
$13,351
5.3× st 4.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
88
$223,925
$42,102
5.3× st 4.0×
698
Other kidney and urinary tract diagnoses with mcc
79
$76,296
$14,811
5.2× st 3.9×
683
Renal failure with cc
78
$47,158
$8,287
5.7× st 4.1×
682
Renal failure with mcc
72
$71,251
$13,272
5.4× st 4.0×
689
Kidney and urinary tract infections with mcc
69
$58,249
$10,436
5.6× st 4.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
67
$54,889
$10,206
5.4× st 4.2×
189
Pulmonary edema and respiratory failure
56
$56,889
$11,127
5.1× st 4.4×
690
Kidney and urinary tract infections without mcc
53
$42,499
$7,787
5.5× st 4.2×
481
Hip and femur procedures except major joint with cc
51
$112,315
$17,848
6.3× st 5.0×
378
Gastrointestinal hemorrhage with cc
50
$59,722
$10,018
6.0× st 4.5×
377
Gastrointestinal hemorrhage with mcc
44
$98,067
$15,982
6.1× st 4.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
43
$46,908
$7,672
6.1× st 4.3×
309
Cardiac arrhythmia and conduction disorders with cc
42
$42,560
$6,964
6.1× st 4.4×
552
Medical back problems without mcc
42
$48,944
$9,025
5.4× st 4.2×
699
Other kidney and urinary tract diagnoses with cc
39
$56,379
$10,784
5.2× st 3.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
35
$61,925
$11,639
5.3× st 3.8×
811
Red blood cell disorders with mcc
34
$71,452
$12,845
5.6× st 4.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
34
$62,221
$11,579
5.4× st 5.0×
312
Syncope and collapse
33
$50,930
$8,838
5.8× st 4.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
33
$38,457
$8,166
4.7× st 4.2×
813
Coagulation disorders
33
$78,534
$14,269
5.5× st 4.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
31
$169,069
$25,344
6.7× st 5.2×
603
Cellulitis without mcc
31
$43,003
$8,576
5.0× st 3.6×
812
Red blood cell disorders without mcc
29
$50,592
$8,674
5.8× st 4.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
29
$116,478
$17,532
6.6× st 4.3×
308
Cardiac arrhythmia and conduction disorders with mcc
29
$80,948
$12,833
6.3× st 4.2×
281
Acute myocardial infarction, discharged alive with cc
28
$52,157
$9,871
5.3× st 5.1×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
28
$130,973
$18,718
7.0× st 5.7×
394
Other digestive system diagnoses with cc
27
$58,314
$8,830
6.6× st 4.1×
389
Gastrointestinal obstruction with cc
26
$47,471
$7,539
6.3× st 4.1×
274
Percutaneous and other intracardiac procedures without mcc
26
$168,256
$27,327
6.2× st 4.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
24
$40,107
$5,373
7.5× st 4.8×
638
Diabetes with cc
22
$54,959
$8,527
6.4× st 4.0×
208
Respiratory system diagnosis with ventilator support <=96 hours
22
$152,967
$31,699
4.8× st 4.4×
602
Cellulitis with mcc
21
$66,223
$13,392
4.9× st 3.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
21
$114,749
$18,554
6.2× st 4.9×
057
Degenerative nervous system disorders without mcc
21
$37,569
$11,132
3.4× st 3.4×
480
Hip and femur procedures except major joint with mcc
20
$154,813
$25,036
6.2× st 5.0×
300
Peripheral vascular disorders with cc
20
$50,642
$9,784
5.2× st 3.8×
330
Major small and large bowel procedures with cc
20
$158,795
$26,799
5.9× st 4.6×
314
Other circulatory system diagnoses with mcc
19
$132,296
$18,466
7.2× st 4.1×
637
Diabetes with mcc
17
$66,670
$12,960
5.1× st 4.3×
252
Other vascular procedures with mcc
17
$177,768
$28,490
6.2× st 4.4×
178
Respiratory infections and inflammations with cc
17
$41,863
$8,945
4.7× st 4.4×
659
Kidney and ureter procedures for non-neoplasm with mcc
16
$139,359
$22,993
6.1× st 4.8×
069
Transient ischemia without thrombolytic
16
$54,972
$7,540
7.3× st 5.9×
299
Peripheral vascular disorders with mcc
16
$84,676
$13,709
6.2× st 4.0×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
16
$38,054
$8,364
4.6× st 4.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
16
$74,608
$11,102
6.7× st 4.0×
270
Other major cardiovascular procedures with mcc
16
$210,536
$44,647
4.7× st 4.3×
393
Other digestive system diagnoses with mcc
16
$66,052
$14,538
4.5× st 3.9×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
16
$220,251
$40,900
5.4× st 4.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
15
$77,358
$9,699
8.0× st 5.3×
884
Organic disturbances and intellectual disability
15
$58,190
$14,184
4.1× st 3.0×
536
Fractures of hip and pelvis without mcc
15
$36,364
$6,684
5.4× st 4.4×
854
Infectious and parasitic diseases with o.r. procedures with cc
15
$142,910
$18,409
7.8× st 4.5×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
15
$189,777
$43,846
4.3× st 3.7×
565
Other musculoskeletal system and connective tissue diagnoses with cc
14
$46,076
$9,183
5.0× st 4.4×
175
Pulmonary embolism with mcc or acute cor pulmonale
14
$83,698
$12,098
6.9× st 4.6×
180
Respiratory neoplasms with mcc
14
$122,395
$15,959
7.7× st 4.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
14
$128,131
$19,186
6.7× st 4.5×
870
Septicemia or severe sepsis with mv >96 hours
14
$280,566
$67,490
4.2× st 4.0×
194
Simple pneumonia and pleurisy with cc
14
$48,386
$7,124
6.8× st 4.3×
388
Gastrointestinal obstruction with mcc
14
$88,906
$13,578
6.5× st 3.7×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
14
$288,559
$54,075
5.3× st 5.0×
329
Major small and large bowel procedures with mcc
14
$238,687
$37,864
6.3× st 4.3×
435
Malignancy of hepatobiliary system or pancreas with mcc
14
$107,801
$16,028
6.7× st 4.5×
454
Combined anterior and posterior spinal fusion with cc
13
$218,039
$55,018
4.0× st 3.6×
305
Hypertension without mcc
13
$39,967
$6,980
5.7× st 4.7×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
13
$45,787
$9,889
4.6× st 4.4×
283
Acute myocardial infarction, expired with mcc
12
$94,193
$20,293
4.6× st 4.3×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
12
$209,119
$38,644
5.4× st 4.1×
282
Acute myocardial infarction, discharged alive without cc/mcc
12
$50,009
$12,250
4.1× st 4.4×
243
Permanent cardiac pacemaker implant with cc
12
$127,162
$19,868
6.4× st 4.7×
564
Other musculoskeletal system and connective tissue diagnoses with mcc
12
$62,520
$14,014
4.5× st 3.5×
101
Seizures without mcc
12
$39,849
$8,277
4.8× st 4.3×
163
Major chest procedures with mcc
12
$209,109
$36,559
5.7× st 3.6×
644
Endocrine disorders with cc
12
$48,688
$9,244
5.3× st 3.6×
271
Other major cardiovascular procedures with cc
12
$162,527
$33,013
4.9× st 4.2×
920
Complications of treatment with cc
11
$89,966
$9,607
9.4× st 3.7×
919
Complications of treatment with mcc
11
$104,997
$15,620
6.7× st 3.9×
432
Cirrhosis and alcoholic hepatitis with mcc
11
$122,097
$18,282
6.7× st 3.5×
554
Bone diseases and arthropathies without mcc
11
$37,441
$7,581
4.9× st 4.0×
551
Medical back problems with mcc
11
$72,419
$14,621
5.0× st 4.2×
684
Renal failure without cc/mcc
11
$31,462
$5,683
5.5× st 4.7×