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
438
$61,615
$15,621
3.9× st 4.1×
291
Heart failure and shock with mcc
186
$40,892
$10,614
3.9× st 4.0×
177
Respiratory infections and inflammations with mcc
104
$47,121
$13,015
3.6× st 4.0×
193
Simple pneumonia and pleurisy with mcc
87
$45,487
$10,738
4.2× st 4.1×
274
Percutaneous and other intracardiac procedures without mcc
84
$176,058
$26,144
6.7× st 5.6×
190
Chronic obstructive pulmonary disease with mcc
63
$41,913
$9,085
4.6× st 4.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
57
$42,518
$8,674
4.9× st 4.2×
280
Acute myocardial infarction, discharged alive with mcc
54
$54,339
$12,987
4.2× st 4.5×
378
Gastrointestinal hemorrhage with cc
53
$46,375
$8,353
5.6× st 4.9×
682
Renal failure with mcc
52
$55,824
$12,237
4.6× st 3.9×
312
Syncope and collapse
51
$36,313
$7,471
4.9× st 4.5×
683
Renal failure with cc
51
$29,688
$7,855
3.8× st 4.1×
689
Kidney and urinary tract infections with mcc
50
$41,617
$9,529
4.4× st 4.0×
690
Kidney and urinary tract infections without mcc
49
$25,803
$6,906
3.7× st 4.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
49
$172,256
$38,492
4.5× st 4.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
45
$33,788
$8,528
4.0× st 4.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
45
$31,842
$6,855
4.6× st 4.5×
309
Cardiac arrhythmia and conduction disorders with cc
44
$44,029
$6,552
6.7× st 4.5×
481
Hip and femur procedures except major joint with cc
43
$107,126
$16,583
6.5× st 5.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
41
$157,825
$15,311
10.3× st 7.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
40
$44,217
$10,414
4.2× st 4.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
40
$56,555
$15,569
3.6× st 4.2×
377
Gastrointestinal hemorrhage with mcc
39
$78,645
$14,126
5.6× st 4.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
36
$186,355
$23,309
8.0× st 6.3×
603
Cellulitis without mcc
36
$31,824
$7,331
4.3× st 3.7×
552
Medical back problems without mcc
36
$33,583
$8,325
4.0× st 4.0×
194
Simple pneumonia and pleurisy with cc
30
$31,065
$7,145
4.3× st 4.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
29
$118,612
$17,150
6.9× st 5.7×
308
Cardiac arrhythmia and conduction disorders with mcc
28
$55,022
$10,571
5.2× st 4.7×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
27
$134,245
$15,221
8.8× st 6.0×
885
Psychoses
26
$45,356
$11,933
3.8× st 2.9×
698
Other kidney and urinary tract diagnoses with mcc
25
$45,414
$14,057
3.2× st 4.1×
480
Hip and femur procedures except major joint with mcc
25
$140,169
$23,135
6.1× st 5.2×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
24
$113,141
$17,622
6.4× st 4.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
24
$56,918
$10,896
5.2× st 4.5×
394
Other digestive system diagnoses with cc
24
$38,547
$7,524
5.1× st 4.5×
208
Respiratory system diagnosis with ventilator support <=96 hours
23
$92,336
$22,737
4.1× st 4.4×
281
Acute myocardial infarction, discharged alive with cc
23
$43,820
$7,824
5.6× st 5.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
22
$35,585
$6,744
5.3× st 4.2×
638
Diabetes with cc
22
$36,263
$7,288
5.0× st 4.5×
178
Respiratory infections and inflammations with cc
22
$33,781
$8,180
4.1× st 4.3×
314
Other circulatory system diagnoses with mcc
21
$70,862
$16,724
4.2× st 4.4×
092
Other disorders of nervous system with cc
21
$29,862
$8,164
3.7× st 4.5×
069
Transient ischemia without thrombolytic
21
$30,110
$6,780
4.4× st 5.1×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
20
$197,015
$38,153
5.2× st 5.9×
101
Seizures without mcc
19
$35,354
$7,675
4.6× st 4.3×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
19
$26,528
$7,757
3.4× st 3.8×
432
Cirrhosis and alcoholic hepatitis with mcc
19
$71,587
$16,784
4.3× st 4.0×
175
Pulmonary embolism with mcc or acute cor pulmonale
19
$51,831
$11,581
4.5× st 4.5×
389
Gastrointestinal obstruction with cc
18
$27,818
$6,905
4.0× st 4.2×
637
Diabetes with mcc
18
$30,692
$11,825
2.6× st 4.5×
305
Hypertension without mcc
18
$25,100
$6,407
3.9× st 4.2×
330
Major small and large bowel procedures with cc
17
$124,728
$20,611
6.1× st 5.2×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
16
$56,463
$14,940
3.8× st 4.3×
091
Other disorders of nervous system with mcc
16
$47,385
$14,594
3.2× st 3.9×
236
Coronary bypass without cardiac catheterization without mcc
16
$183,314
$32,458
5.6× st 5.4×
870
Septicemia or severe sepsis with mv >96 hours
15
$239,387
$51,765
4.6× st 4.2×
191
Chronic obstructive pulmonary disease with cc
15
$26,528
$7,238
3.7× st 4.3×
070
Other cerebrovascular disorders with mcc
15
$64,649
$14,797
4.4× st 4.0×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
15
$29,925
$7,403
4.0× st 3.1×
602
Cellulitis with mcc
14
$48,270
$11,416
4.2× st 4.3×
699
Other kidney and urinary tract diagnoses with cc
14
$31,924
$8,466
3.8× st 4.4×
329
Major small and large bowel procedures with mcc
14
$199,337
$35,734
5.6× st 4.8×
100
Seizures with mcc
14
$51,046
$14,691
3.5× st 4.0×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
14
$79,417
$9,016
8.8× st 6.4×
948
Signs and symptoms without mcc
13
$27,040
$7,369
3.7× st 4.3×
057
Degenerative nervous system disorders without mcc
13
$27,966
$9,996
2.8× st 3.5×
176
Pulmonary embolism without mcc
13
$34,509
$7,128
4.8× st 4.6×
189
Pulmonary edema and respiratory failure
13
$55,350
$10,270
5.4× st 4.0×
551
Medical back problems with mcc
12
$53,446
$13,664
3.9× st 4.3×
812
Red blood cell disorders without mcc
12
$44,882
$7,543
6.0× st 4.1×
884
Organic disturbances and intellectual disability
12
$36,270
$13,671
2.7× st 2.5×
025
Craniotomy and endovascular intracranial procedures with mcc
12
$202,890
$35,441
5.7× st 4.7×
439
Disorders of pancreas except malignancy with cc
12
$33,779
$7,369
4.6× st 5.0×
292
Heart failure and shock with cc
12
$32,559
$7,568
4.3× st 4.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
12
$47,122
$5,649
8.3× st 4.5×
207
Respiratory system diagnosis with ventilator support >96 hours
11
$238,365
$51,620
4.6× st 4.0×
056
Degenerative nervous system disorders with mcc
11
$53,481
$17,821
3.0× st 3.4×
393
Other digestive system diagnoses with mcc
11
$90,805
$14,746
6.2× st 4.3×
315
Other circulatory system diagnoses with cc
11
$31,711
$8,132
3.9× st 4.4×
082
Traumatic stupor and coma >1 hour with mcc
11
$109,816
$17,847
6.2× st 4.6×
180
Respiratory neoplasms with mcc
11
$47,557
$14,056
3.4× st 4.5×
243
Permanent cardiac pacemaker implant with cc
11
$119,535
$17,645
6.8× st 5.9×
811
Red blood cell disorders with mcc
11
$75,958
$11,651
6.5× st 4.7×
951
Other factors influencing health status
11
$20,012
$5,196
3.9× st 3.9×