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
274
$78,533
$16,317
4.8× st 4.2×
291
Heart failure and shock with mcc
205
$46,641
$10,271
4.5× st 3.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
92
$69,039
$14,835
4.7× st 4.7×
177
Respiratory infections and inflammations with mcc
85
$65,178
$12,914
5.0× st 4.2×
193
Simple pneumonia and pleurisy with mcc
74
$53,310
$10,878
4.9× st 4.2×
280
Acute myocardial infarction, discharged alive with mcc
63
$60,928
$13,236
4.6× st 4.4×
689
Kidney and urinary tract infections with mcc
51
$44,679
$9,361
4.8× st 4.0×
690
Kidney and urinary tract infections without mcc
50
$34,105
$6,711
5.1× st 4.2×
698
Other kidney and urinary tract diagnoses with mcc
46
$70,295
$14,756
4.8× st 3.9×
552
Medical back problems without mcc
43
$34,869
$7,771
4.5× st 4.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
43
$200,701
$36,626
5.5× st 4.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
42
$40,562
$8,206
4.9× st 4.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
38
$42,857
$10,459
4.1× st 3.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
38
$34,808
$6,589
5.3× st 4.3×
603
Cellulitis without mcc
35
$32,605
$7,205
4.5× st 3.6×
682
Renal failure with mcc
34
$46,596
$11,784
4.0× st 4.0×
481
Hip and femur procedures except major joint with cc
33
$86,433
$19,805
4.4× st 5.0×
189
Pulmonary edema and respiratory failure
30
$48,896
$9,946
4.9× st 4.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
28
$32,233
$6,503
5.0× st 4.2×
377
Gastrointestinal hemorrhage with mcc
28
$84,034
$13,766
6.1× st 4.4×
683
Renal failure with cc
26
$38,509
$8,000
4.8× st 4.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
25
$75,999
$14,364
5.3× st 4.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
24
$47,277
$10,453
4.5× st 4.0×
699
Other kidney and urinary tract diagnoses with cc
24
$33,424
$8,053
4.2× st 3.8×
308
Cardiac arrhythmia and conduction disorders with mcc
23
$43,222
$9,665
4.5× st 4.2×
378
Gastrointestinal hemorrhage with cc
23
$42,601
$8,065
5.3× st 4.5×
305
Hypertension without mcc
23
$29,876
$7,357
4.1× st 4.7×
312
Syncope and collapse
22
$31,733
$7,698
4.1× st 4.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
21
$58,121
$11,109
5.2× st 5.0×
194
Simple pneumonia and pleurisy with cc
20
$31,457
$6,822
4.6× st 4.3×
190
Chronic obstructive pulmonary disease with mcc
20
$44,004
$9,193
4.8× st 4.3×
202
Bronchitis and asthma with cc/mcc
20
$35,815
$7,834
4.6× st 4.0×
432
Cirrhosis and alcoholic hepatitis with mcc
19
$61,567
$16,656
3.7× st 3.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
19
$81,154
$16,590
4.9× st 4.9×
314
Other circulatory system diagnoses with mcc
18
$94,113
$16,543
5.7× st 4.1×
812
Red blood cell disorders without mcc
18
$46,711
$9,899
4.7× st 4.1×
480
Hip and femur procedures except major joint with mcc
17
$114,659
$20,640
5.6× st 5.0×
309
Cardiac arrhythmia and conduction disorders with cc
17
$32,976
$6,243
5.3× st 4.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
17
$107,068
$24,882
4.3× st 5.7×
330
Major small and large bowel procedures with cc
17
$120,211
$19,124
6.3× st 4.6×
884
Organic disturbances and intellectual disability
16
$37,686
$11,857
3.2× st 3.0×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
16
$84,999
$18,207
4.7× st 4.5×
637
Diabetes with mcc
16
$47,743
$11,553
4.1× st 4.3×
394
Other digestive system diagnoses with cc
16
$44,741
$7,752
5.8× st 4.1×
393
Other digestive system diagnoses with mcc
16
$62,274
$13,042
4.8× st 3.9×
057
Degenerative nervous system disorders without mcc
15
$40,863
$11,995
3.4× st 3.4×
069
Transient ischemia without thrombolytic
15
$38,498
$6,706
5.7× st 5.9×
467
Revision of hip or knee replacement with cc
15
$111,795
$26,025
4.3× st 4.3×
313
Chest pain
14
$38,492
$6,095
6.3× st 4.8×
389
Gastrointestinal obstruction with cc
14
$34,137
$9,822
3.5× st 4.1×
638
Diabetes with cc
14
$34,751
$8,350
4.2× st 4.0×
281
Acute myocardial infarction, discharged alive with cc
14
$43,160
$8,048
5.4× st 5.1×
870
Septicemia or severe sepsis with mv >96 hours
13
$212,776
$58,038
3.7× st 4.0×
100
Seizures with mcc
13
$63,828
$14,904
4.3× st 4.2×
180
Respiratory neoplasms with mcc
13
$63,783
$13,773
4.6× st 4.3×
178
Respiratory infections and inflammations with cc
13
$31,837
$9,950
3.2× st 4.4×
300
Peripheral vascular disorders with cc
13
$41,671
$8,657
4.8× st 3.8×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
13
$32,137
$7,415
4.3× st 4.2×
468
Revision of hip or knee replacement without cc/mcc
13
$84,216
$21,232
4.0× st 4.5×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
13
$32,277
$7,517
4.3× st 4.1×
602
Cellulitis with mcc
12
$66,877
$11,791
5.7× st 3.9×
149
Dysequilibrium
12
$30,121
$6,472
4.7× st 4.9×
176
Pulmonary embolism without mcc
12
$33,967
$6,768
5.0× st 4.7×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$56,745
$11,230
5.1× st 4.6×
315
Other circulatory system diagnoses with cc
11
$31,636
$7,911
4.0× st 4.2×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
11
$87,946
$19,003
4.6× st 4.7×
091
Other disorders of nervous system with mcc
11
$47,754
$14,019
3.4× st 4.2×
813
Coagulation disorders
11
$91,736
$12,363
7.4× st 4.2×