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
249
$49,006
$17,285
2.8× st 2.3×
291
Heart failure and shock with mcc
209
$31,184
$11,357
2.7× st 2.3×
177
Respiratory infections and inflammations with mcc
109
$44,307
$14,480
3.1× st 2.3×
193
Simple pneumonia and pleurisy with mcc
107
$30,207
$12,166
2.5× st 2.2×
190
Chronic obstructive pulmonary disease with mcc
103
$34,304
$11,147
3.1× st 2.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
54
$23,359
$7,346
3.2× st 2.4×
689
Kidney and urinary tract infections with mcc
54
$24,465
$10,265
2.4× st 2.3×
683
Renal failure with cc
54
$21,621
$8,052
2.7× st 2.2×
690
Kidney and urinary tract infections without mcc
52
$21,166
$7,457
2.8× st 2.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
47
$28,452
$10,198
2.8× st 2.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
46
$20,704
$7,367
2.8× st 2.5×
312
Syncope and collapse
44
$24,026
$8,336
2.9× st 2.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
43
$47,867
$14,704
3.3× st 2.4×
194
Simple pneumonia and pleurisy with cc
42
$23,497
$7,311
3.2× st 2.4×
603
Cellulitis without mcc
41
$20,619
$8,128
2.5× st 2.1×
280
Acute myocardial infarction, discharged alive with mcc
40
$42,094
$15,043
2.8× st 2.5×
189
Pulmonary edema and respiratory failure
37
$42,261
$12,224
3.5× st 2.3×
309
Cardiac arrhythmia and conduction disorders with cc
34
$20,876
$6,939
3.0× st 2.5×
682
Renal failure with mcc
32
$30,123
$13,055
2.3× st 2.3×
552
Medical back problems without mcc
30
$22,575
$8,849
2.6× st 2.4×
378
Gastrointestinal hemorrhage with cc
29
$32,641
$9,092
3.6× st 2.6×
698
Other kidney and urinary tract diagnoses with mcc
28
$41,064
$14,401
2.9× st 2.3×
948
Signs and symptoms without mcc
26
$25,089
$7,158
3.5× st 3.1×
178
Respiratory infections and inflammations with cc
24
$31,445
$8,858
3.6× st 2.6×
811
Red blood cell disorders with mcc
24
$41,358
$12,726
3.3× st 2.6×
389
Gastrointestinal obstruction with cc
24
$24,358
$8,052
3.0× st 2.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
23
$25,697
$9,099
2.8× st 2.8×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
23
$23,104
$8,133
2.8× st 2.3×
481
Hip and femur procedures except major joint with cc
22
$77,465
$19,265
4.0× st 2.7×
638
Diabetes with cc
21
$18,299
$8,042
2.3× st 2.4×
308
Cardiac arrhythmia and conduction disorders with mcc
21
$36,659
$11,457
3.2× st 2.6×
191
Chronic obstructive pulmonary disease with cc
21
$18,082
$7,538
2.4× st 2.4×
202
Bronchitis and asthma with cc/mcc
21
$21,607
$8,769
2.5× st 2.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
20
$41,618
$11,902
3.5× st 2.5×
092
Other disorders of nervous system with cc
20
$32,618
$10,300
3.2× st 2.7×
069
Transient ischemia without thrombolytic
19
$22,855
$7,371
3.1× st 2.9×
699
Other kidney and urinary tract diagnoses with cc
18
$21,407
$9,282
2.3× st 2.4×
071
Other cerebrovascular disorders with cc
17
$31,515
$9,612
3.3× st 2.5×
175
Pulmonary embolism with mcc or acute cor pulmonale
17
$37,097
$13,441
2.8× st 2.7×
439
Disorders of pancreas except malignancy with cc
17
$18,790
$8,415
2.2× st 2.6×
377
Gastrointestinal hemorrhage with mcc
17
$47,108
$13,834
3.4× st 2.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
16
$146,113
$55,705
2.6× st 2.4×
281
Acute myocardial infarction, discharged alive with cc
15
$24,388
$8,333
2.9× st 3.2×
394
Other digestive system diagnoses with cc
15
$23,040
$8,624
2.7× st 2.6×
149
Dysequilibrium
15
$24,695
$6,950
3.6× st 2.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
14
$31,964
$14,233
2.2× st 2.6×
884
Organic disturbances and intellectual disability
14
$25,624
$14,032
1.8× st 2.5×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
14
$46,512
$12,774
3.6× st 2.1×
057
Degenerative nervous system disorders without mcc
14
$25,329
$11,332
2.2× st 2.4×
313
Chest pain
14
$21,755
$6,701
3.2× st 3.0×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$71,152
$18,828
3.8× st 2.6×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
13
$19,456
$5,323
3.7× st 2.5×
565
Other musculoskeletal system and connective tissue diagnoses with cc
13
$24,229
$9,328
2.6× st 2.3×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
13
$19,942
$7,463
2.7× st 2.8×
536
Fractures of hip and pelvis without mcc
13
$18,761
$7,383
2.5× st 2.2×
602
Cellulitis with mcc
11
$38,922
$13,484
2.9× st 2.4×
176
Pulmonary embolism without mcc
11
$20,374
$7,593
2.7× st 2.8×
091
Other disorders of nervous system with mcc
11
$32,453
$15,283
2.1× st 2.7×