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
257
$71,828
$14,036
5.1× st 4.1×
291
Heart failure and shock with mcc
144
$49,930
$9,336
5.3× st 4.0×
193
Simple pneumonia and pleurisy with mcc
64
$56,807
$9,786
5.8× st 4.1×
177
Respiratory infections and inflammations with mcc
37
$52,932
$11,839
4.5× st 4.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
35
$32,517
$6,305
5.2× st 4.5×
698
Other kidney and urinary tract diagnoses with mcc
34
$66,695
$11,975
5.6× st 4.1×
190
Chronic obstructive pulmonary disease with mcc
33
$42,634
$8,146
5.2× st 4.6×
308
Cardiac arrhythmia and conduction disorders with mcc
33
$44,875
$8,729
5.1× st 4.7×
872
Septicemia or severe sepsis without mv >96 hours without mcc
31
$37,369
$7,662
4.9× st 4.2×
689
Kidney and urinary tract infections with mcc
30
$41,265
$8,487
4.9× st 4.0×
378
Gastrointestinal hemorrhage with cc
30
$44,036
$7,823
5.6× st 4.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
29
$51,238
$10,115
5.1× st 4.1×
690
Kidney and urinary tract infections without mcc
28
$33,987
$6,383
5.3× st 4.1×
683
Renal failure with cc
24
$29,486
$6,599
4.5× st 4.1×
389
Gastrointestinal obstruction with cc
22
$30,517
$5,918
5.2× st 4.2×
309
Cardiac arrhythmia and conduction disorders with cc
21
$31,017
$5,637
5.5× st 4.5×
189
Pulmonary edema and respiratory failure
21
$39,174
$8,840
4.4× st 4.0×
811
Red blood cell disorders with mcc
21
$70,708
$10,294
6.9× st 4.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
21
$210,658
$36,338
5.8× st 4.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
21
$137,228
$14,584
9.4× st 7.6×
377
Gastrointestinal hemorrhage with mcc
21
$78,629
$13,157
6.0× st 4.8×
194
Simple pneumonia and pleurisy with cc
21
$31,388
$6,205
5.1× st 4.4×
312
Syncope and collapse
20
$31,275
$6,404
4.9× st 4.5×
812
Red blood cell disorders without mcc
20
$45,296
$6,784
6.7× st 4.1×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
19
$120,557
$16,255
7.4× st 4.9×
603
Cellulitis without mcc
17
$37,372
$6,587
5.7× st 3.7×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
17
$129,983
$14,508
9.0× st 6.0×
522
Hip replacement with principal diagnosis of hip fracture without mcc
17
$120,292
$14,685
8.2× st 5.7×
481
Hip and femur procedures except major joint with cc
15
$111,527
$14,289
7.8× st 5.4×
394
Other digestive system diagnoses with cc
15
$39,757
$7,021
5.7× st 4.5×
638
Diabetes with cc
15
$32,495
$6,732
4.8× st 4.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
14
$53,422
$5,906
9.0× st 4.2×
682
Renal failure with mcc
14
$66,089
$10,440
6.3× st 3.9×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
14
$190,900
$21,885
8.7× st 6.3×
092
Other disorders of nervous system with cc
13
$43,572
$7,413
5.9× st 4.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
13
$59,368
$12,988
4.6× st 4.2×
091
Other disorders of nervous system with mcc
13
$68,403
$12,357
5.5× st 3.9×
280
Acute myocardial infarction, discharged alive with mcc
13
$60,588
$11,100
5.5× st 4.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
12
$33,376
$8,346
4.0× st 4.8×
854
Infectious and parasitic diseases with o.r. procedures with cc
12
$70,652
$13,656
5.2× st 4.7×
521
Hip replacement with principal diagnosis of hip fracture with mcc
12
$173,182
$23,453
7.4× st 4.8×
057
Degenerative nervous system disorders without mcc
12
$33,492
$8,920
3.8× st 3.5×
281
Acute myocardial infarction, discharged alive with cc
12
$57,051
$6,842
8.3× st 5.5×
483
Major joint or limb reattachment procedures of upper extremities
12
$173,030
$17,762
9.7× st 5.5×
948
Signs and symptoms without mcc
12
$29,951
$5,997
5.0× st 4.3×
314
Other circulatory system diagnoses with mcc
11
$215,509
$34,258
6.3× st 4.4×
480
Hip and femur procedures except major joint with mcc
11
$145,366
$21,689
6.7× st 5.2×