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
297
$63,231
$15,528
4.1× st 4.2×
291
Heart failure and shock with mcc
231
$48,049
$9,866
4.9× st 3.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
94
$36,097
$8,716
4.1× st 4.2×
274
Percutaneous and other intracardiac procedures without mcc
90
$112,718
$23,939
4.7× st 4.8×
189
Pulmonary edema and respiratory failure
59
$51,690
$10,096
5.1× st 4.4×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
55
$155,458
$35,543
4.4× st 4.9×
280
Acute myocardial infarction, discharged alive with mcc
52
$59,130
$11,853
5.0× st 4.4×
698
Other kidney and urinary tract diagnoses with mcc
48
$49,116
$12,430
4.0× st 3.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
46
$129,527
$35,189
3.7× st 4.0×
603
Cellulitis without mcc
43
$34,420
$7,689
4.5× st 3.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
41
$44,866
$9,891
4.5× st 5.0×
193
Simple pneumonia and pleurisy with mcc
41
$45,318
$10,146
4.5× st 4.2×
683
Renal failure with cc
41
$32,194
$7,299
4.4× st 4.1×
682
Renal failure with mcc
40
$52,388
$12,150
4.3× st 4.0×
177
Respiratory infections and inflammations with mcc
36
$59,995
$11,824
5.1× st 4.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
35
$32,028
$6,250
5.1× st 4.3×
812
Red blood cell disorders without mcc
34
$35,771
$11,621
3.1× st 4.1×
378
Gastrointestinal hemorrhage with cc
33
$36,835
$7,772
4.7× st 4.5×
309
Cardiac arrhythmia and conduction disorders with cc
32
$26,047
$6,048
4.3× st 4.4×
690
Kidney and urinary tract infections without mcc
32
$31,025
$8,114
3.8× st 4.2×
281
Acute myocardial infarction, discharged alive with cc
30
$34,813
$8,655
4.0× st 5.1×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
29
$75,492
$16,346
4.6× st 4.5×
481
Hip and femur procedures except major joint with cc
28
$56,288
$15,305
3.7× st 5.0×
308
Cardiac arrhythmia and conduction disorders with mcc
28
$66,851
$9,125
7.3× st 4.2×
689
Kidney and urinary tract infections with mcc
28
$37,445
$9,694
3.9× st 4.0×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
25
$40,210
$5,960
6.7× st 4.2×
312
Syncope and collapse
25
$52,599
$8,935
5.9× st 4.3×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
25
$27,669
$4,538
6.1× st 4.8×
243
Permanent cardiac pacemaker implant with cc
25
$85,699
$16,982
5.0× st 4.7×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
24
$47,688
$8,395
5.7× st 5.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
24
$45,457
$9,878
4.6× st 3.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
23
$50,451
$13,666
3.7× st 4.3×
522
Hip replacement with principal diagnosis of hip fracture without mcc
22
$65,904
$15,807
4.2× st 4.9×
460
Spinal fusion except cervical without mcc
22
$105,468
$31,404
3.4× st 4.0×
330
Major small and large bowel procedures with cc
21
$80,460
$23,879
3.4× st 4.6×
699
Other kidney and urinary tract diagnoses with cc
21
$31,733
$7,630
4.2× st 3.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
21
$104,623
$19,565
5.3× st 5.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
20
$127,162
$29,686
4.3× st 5.2×
194
Simple pneumonia and pleurisy with cc
19
$31,063
$6,202
5.0× st 4.3×
854
Infectious and parasitic diseases with o.r. procedures with cc
18
$77,692
$15,042
5.2× st 4.5×
472
Cervical spinal fusion with cc
18
$97,416
$28,877
3.4× st 4.2×
389
Gastrointestinal obstruction with cc
18
$24,477
$6,494
3.8× st 4.1×
039
Extracranial procedures without cc/mcc
18
$43,450
$8,979
4.8× st 5.4×
377
Gastrointestinal hemorrhage with mcc
18
$55,216
$14,473
3.8× st 4.4×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
18
$134,926
$31,864
4.2× st 4.1×
175
Pulmonary embolism with mcc or acute cor pulmonale
17
$54,487
$10,526
5.2× st 4.6×
811
Red blood cell disorders with mcc
16
$54,353
$10,805
5.0× st 4.3×
208
Respiratory system diagnosis with ventilator support <=96 hours
16
$76,036
$19,739
3.9× st 4.4×
660
Kidney and ureter procedures for non-neoplasm with cc
16
$31,781
$9,977
3.2× st 4.7×
638
Diabetes with cc
15
$38,289
$7,818
4.9× st 4.0×
602
Cellulitis with mcc
15
$38,625
$11,203
3.4× st 3.9×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
14
$213,968
$41,450
5.2× st 5.0×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
13
$56,535
$14,894
3.8× st 3.8×
552
Medical back problems without mcc
13
$31,988
$7,360
4.3× st 4.2×
190
Chronic obstructive pulmonary disease with mcc
13
$44,509
$8,696
5.1× st 4.3×
394
Other digestive system diagnoses with cc
13
$44,072
$7,478
5.9× st 4.1×
242
Permanent cardiac pacemaker implant with mcc
13
$148,950
$25,989
5.7× st 4.4×
071
Other cerebrovascular disorders with cc
12
$52,030
$8,218
6.3× st 4.8×
244
Permanent cardiac pacemaker implant without cc/mcc
12
$73,602
$19,928
3.7× st 5.2×
445
Disorders of the biliary tract with cc
12
$42,647
$8,324
5.1× st 4.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
12
$66,088
$10,172
6.5× st 4.0×
236
Coronary bypass without cardiac catheterization without mcc
11
$180,958
$29,489
6.1× st 4.8×
637
Diabetes with mcc
11
$80,465
$11,530
7.0× st 4.3×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
11
$45,524
$5,575
8.2× st 5.5×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
11
$65,619
$10,162
6.5× st 4.6×
314
Other circulatory system diagnoses with mcc
11
$59,636
$15,622
3.8× st 4.1×