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
280
$37,910
$13,324
2.8× st 3.4×
291
Heart failure and shock with mcc
235
$25,510
$8,862
2.9× st 3.5×
189
Pulmonary edema and respiratory failure
75
$30,855
$8,607
3.6× st 3.9×
193
Simple pneumonia and pleurisy with mcc
74
$23,558
$9,277
2.5× st 3.4×
177
Respiratory infections and inflammations with mcc
71
$34,465
$11,204
3.1× st 3.4×
274
Percutaneous and other intracardiac procedures without mcc
58
$113,631
$21,809
5.2× st 4.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
53
$75,308
$32,748
2.3× st 3.5×
280
Acute myocardial infarction, discharged alive with mcc
50
$38,800
$10,987
3.5× st 3.9×
378
Gastrointestinal hemorrhage with cc
48
$18,208
$6,769
2.7× st 4.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
43
$19,324
$7,704
2.5× st 3.6×
698
Other kidney and urinary tract diagnoses with mcc
43
$30,355
$11,015
2.8× st 3.4×
885
Psychoses
38
$22,484
$10,340
2.2× st 2.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
37
$23,647
$6,919
3.4× st 4.8×
682
Renal failure with mcc
36
$25,229
$9,921
2.5× st 3.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
35
$15,839
$5,555
2.9× st 4.2×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
34
$66,231
$13,418
4.9× st 5.6×
683
Renal failure with cc
33
$13,218
$6,244
2.1× st 3.6×
312
Syncope and collapse
33
$19,593
$6,121
3.2× st 4.2×
309
Cardiac arrhythmia and conduction disorders with cc
31
$15,801
$5,397
2.9× st 3.8×
690
Kidney and urinary tract infections without mcc
31
$15,508
$5,593
2.8× st 3.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
30
$31,296
$9,595
3.3× st 4.0×
689
Kidney and urinary tract infections with mcc
29
$19,818
$8,281
2.4× st 3.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
28
$16,051
$5,633
2.9× st 4.0×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
27
$185,234
$33,566
5.5× st 4.5×
603
Cellulitis without mcc
27
$18,204
$6,300
2.9× st 3.5×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
27
$194,371
$42,074
4.6× st 4.2×
481
Hip and femur procedures except major joint with cc
26
$55,813
$13,596
4.1× st 4.2×
552
Medical back problems without mcc
26
$19,637
$6,781
2.9× st 3.9×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
26
$55,093
$14,636
3.8× st 4.3×
812
Red blood cell disorders without mcc
25
$20,423
$6,342
3.2× st 4.2×
389
Gastrointestinal obstruction with cc
23
$17,188
$5,651
3.0× st 4.1×
948
Signs and symptoms without mcc
23
$16,989
$5,560
3.1× st 4.2×
377
Gastrointestinal hemorrhage with mcc
23
$37,286
$12,531
3.0× st 3.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
22
$22,861
$9,758
2.3× st 3.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
22
$74,682
$19,631
3.8× st 4.8×
236
Coronary bypass without cardiac catheterization without mcc
22
$98,554
$27,213
3.6× st 5.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
22
$43,550
$13,744
3.2× st 4.0×
243
Permanent cardiac pacemaker implant with cc
21
$76,775
$16,137
4.8× st 4.1×
036
Carotid artery stent procedures without cc/mcc
21
$56,968
$13,626
4.2× st 4.0×
637
Diabetes with mcc
20
$43,657
$12,379
3.5× st 4.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
20
$48,746
$14,634
3.3× st 4.1×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
19
$51,961
$12,910
4.0× st 4.2×
194
Simple pneumonia and pleurisy with cc
19
$15,213
$5,713
2.7× st 3.9×
480
Hip and femur procedures except major joint with mcc
17
$58,454
$18,837
3.1× st 3.9×
178
Respiratory infections and inflammations with cc
17
$15,415
$6,605
2.3× st 3.7×
330
Major small and large bowel procedures with cc
17
$60,425
$16,013
3.8× st 3.8×
811
Red blood cell disorders with mcc
17
$20,743
$9,681
2.1× st 4.1×
242
Permanent cardiac pacemaker implant with mcc
17
$73,377
$23,926
3.1× st 3.8×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
16
$35,257
$7,571
4.7× st 4.9×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
16
$16,818
$5,986
2.8× st 4.0×
951
Other factors influencing health status
16
$11,263
$4,198
2.7× st 3.9×
314
Other circulatory system diagnoses with mcc
16
$33,569
$13,684
2.5× st 3.7×
281
Acute myocardial infarction, discharged alive with cc
15
$24,973
$6,408
3.9× st 4.8×
329
Major small and large bowel procedures with mcc
15
$72,357
$28,700
2.5× st 3.9×
699
Other kidney and urinary tract diagnoses with cc
15
$24,393
$7,101
3.4× st 3.4×
854
Infectious and parasitic diseases with o.r. procedures with cc
15
$39,262
$13,705
2.9× st 3.6×
069
Transient ischemia without thrombolytic
14
$26,654
$5,642
4.7× st 5.3×
235
Coronary bypass without cardiac catheterization with mcc
14
$123,414
$38,376
3.2× st 4.1×
149
Dysequilibrium
13
$18,023
$5,289
3.4× st 4.4×
445
Disorders of the biliary tract with cc
13
$20,400
$7,163
2.8× st 5.1×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
13
$21,400
$7,066
3.0× st 4.5×
308
Cardiac arrhythmia and conduction disorders with mcc
13
$22,923
$8,362
2.7× st 3.6×
208
Respiratory system diagnosis with ventilator support <=96 hours
13
$70,813
$18,459
3.8× st 3.9×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
13
$22,642
$12,715
1.8× st 3.6×
273
Percutaneous and other intracardiac procedures with mcc
12
$145,088
$25,878
5.6× st 4.4×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
12
$15,799
$6,503
2.4× st 3.2×
418
Laparoscopic cholecystectomy without c.d.e. with cc
12
$50,422
$11,309
4.5× st 5.3×
638
Diabetes with cc
12
$27,693
$6,421
4.3× st 4.2×
035
Carotid artery stent procedures with cc
11
$65,408
$15,639
4.2× st 4.0×
467
Revision of hip or knee replacement with cc
11
$62,527
$25,042
2.5× st 4.2×
551
Medical back problems with mcc
11
$26,490
$10,450
2.5× st 4.5×
196
Interstitial lung disease with mcc
11
$30,630
$12,259
2.5× st 2.5×