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
141
$93,367
$20,732
4.5× st 4.3×
481
Hip and femur procedures except major joint with cc
52
$114,699
$20,093
5.7× st 5.5×
885
Psychoses
51
$59,138
$16,582
3.6× st 2.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
51
$103,081
$13,596
7.6× st 5.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
39
$109,834
$20,459
5.4× st 4.9×
683
Renal failure with cc
38
$38,002
$9,919
3.8× st 4.4×
025
Craniotomy and endovascular intracranial procedures with mcc
35
$305,776
$54,505
5.6× st 4.9×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
34
$110,422
$22,398
4.9× st 5.0×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
32
$247,694
$54,203
4.6× st 6.0×
184
Major chest trauma with cc
31
$38,637
$14,340
2.7× st 4.1×
480
Hip and femur procedures except major joint with mcc
30
$125,518
$26,896
4.7× st 5.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
29
$209,558
$47,772
4.4× st 4.4×
083
Traumatic stupor and coma >1 hour with cc
28
$56,366
$14,248
4.0× st 4.2×
330
Major small and large bowel procedures with cc
26
$105,330
$23,377
4.5× st 4.9×
552
Medical back problems without mcc
26
$55,197
$10,987
5.0× st 4.2×
082
Traumatic stupor and coma >1 hour with mcc
23
$78,023
$22,525
3.5× st 3.9×
329
Major small and large bowel procedures with mcc
23
$202,421
$50,498
4.0× st 4.3×
331
Major small and large bowel procedures without cc/mcc
21
$62,857
$16,558
3.8× st 5.8×
291
Heart failure and shock with mcc
20
$45,027
$12,956
3.5× st 4.3×
071
Other cerebrovascular disorders with cc
20
$41,164
$11,484
3.6× st 4.7×
812
Red blood cell disorders without mcc
20
$39,288
$9,973
3.9× st 4.9×
193
Simple pneumonia and pleurisy with mcc
20
$76,266
$20,297
3.8× st 4.4×
101
Seizures without mcc
19
$36,912
$9,744
3.8× st 4.9×
312
Syncope and collapse
18
$39,851
$9,363
4.3× st 4.9×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
18
$42,101
$10,085
4.2× st 4.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
18
$41,114
$11,918
3.5× st 4.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
17
$87,408
$25,300
3.5× st 4.6×
389
Gastrointestinal obstruction with cc
17
$44,141
$9,398
4.7× st 4.0×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
17
$38,429
$9,966
3.9× st 4.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
17
$32,464
$8,303
3.9× st 4.8×
054
Nervous system neoplasms with mcc
16
$75,423
$16,540
4.6× st 4.9×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
16
$34,374
$12,677
2.7× st 4.7×
682
Renal failure with mcc
15
$66,183
$15,334
4.3× st 4.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
15
$55,491
$13,892
4.0× st 4.2×
948
Signs and symptoms without mcc
15
$43,461
$8,683
5.0× st 4.7×
690
Kidney and urinary tract infections without mcc
15
$33,965
$8,884
3.8× st 4.3×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
14
$191,440
$35,786
5.4× st 6.5×
100
Seizures with mcc
14
$75,728
$18,845
4.0× st 4.7×
492
Lower extremity and humerus procedures except hip, foot and femur with mcc
14
$160,254
$35,683
4.5× st 4.3×
084
Traumatic stupor and coma >1 hour without cc/mcc
14
$33,929
$9,732
3.5× st 3.5×
603
Cellulitis without mcc
14
$28,511
$9,093
3.1× st 3.9×
070
Other cerebrovascular disorders with mcc
14
$58,863
$17,382
3.4× st 4.2×
378
Gastrointestinal hemorrhage with cc
14
$59,889
$10,260
5.8× st 5.3×
884
Organic disturbances and intellectual disability
13
$52,013
$19,295
2.7× st 3.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
13
$31,921
$8,876
3.6× st 4.6×
189
Pulmonary edema and respiratory failure
13
$41,857
$11,714
3.6× st 4.5×
394
Other digestive system diagnoses with cc
13
$33,903
$10,599
3.2× st 4.6×
522
Hip replacement with principal diagnosis of hip fracture without mcc
13
$100,712
$21,529
4.7× st 6.3×
957
Other o.r. procedures for multiple significant trauma with mcc
12
$269,856
$71,274
3.8× st 4.0×
963
Other multiple significant trauma with mcc
12
$118,087
$26,793
4.4× st 4.6×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
12
$304,940
$112,927
2.7× st 3.3×
917
Poisoning and toxic effects of drugs with mcc
12
$67,276
$16,009
4.2× st 4.3×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
12
$191,267
$43,686
4.4× st 4.9×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
12
$108,305
$19,599
5.5× st 7.2×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
12
$195,753
$31,975
6.1× st 6.6×
200
Pneumothorax with cc
12
$36,487
$11,564
3.2× st 3.6×
551
Medical back problems with mcc
12
$72,990
$17,394
4.2× st 4.5×
935
Non-extensive burns
11
$65,964
$20,591
3.2× st 3.2×
280
Acute myocardial infarction, discharged alive with mcc
11
$61,775
$16,212
3.8× st 4.7×
698
Other kidney and urinary tract diagnoses with mcc
11
$71,368
$15,965
4.5× st 4.1×
958
Other o.r. procedures for multiple significant trauma with cc
11
$112,710
$36,487
3.1× st 3.1×
314
Other circulatory system diagnoses with mcc
11
$139,098
$28,505
4.9× st 4.5×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
11
$440,633
$134,871
3.3× st 3.8×