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
243
$33,071
$20,674
1.6× st 2.3×
291
Heart failure and shock with mcc
124
$23,642
$13,643
1.7× st 2.3×
280
Acute myocardial infarction, discharged alive with mcc
99
$27,034
$17,080
1.6× st 2.5×
177
Respiratory infections and inflammations with mcc
93
$23,765
$17,409
1.4× st 2.3×
193
Simple pneumonia and pleurisy with mcc
79
$20,704
$13,695
1.5× st 2.2×
378
Gastrointestinal hemorrhage with cc
56
$24,099
$10,522
2.3× st 2.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
56
$16,085
$8,673
1.9× st 2.5×
689
Kidney and urinary tract infections with mcc
55
$20,141
$12,312
1.6× st 2.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
51
$16,696
$8,530
2.0× st 2.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
45
$26,689
$19,315
1.4× st 2.4×
682
Renal failure with mcc
40
$23,735
$15,265
1.6× st 2.3×
190
Chronic obstructive pulmonary disease with mcc
38
$22,710
$11,923
1.9× st 2.2×
698
Other kidney and urinary tract diagnoses with mcc
37
$26,981
$17,293
1.6× st 2.3×
690
Kidney and urinary tract infections without mcc
32
$16,163
$8,764
1.8× st 2.4×
377
Gastrointestinal hemorrhage with mcc
30
$32,674
$18,754
1.7× st 2.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
28
$20,385
$10,998
1.9× st 2.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
28
$54,089
$18,814
2.9× st 4.0×
603
Cellulitis without mcc
28
$16,748
$9,560
1.8× st 2.1×
683
Renal failure with cc
27
$16,725
$9,575
1.7× st 2.2×
312
Syncope and collapse
27
$23,821
$12,576
1.9× st 2.6×
481
Hip and femur procedures except major joint with cc
27
$33,177
$21,714
1.5× st 2.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
26
$25,721
$14,909
1.7× st 2.4×
178
Respiratory infections and inflammations with cc
26
$17,171
$10,347
1.7× st 2.6×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
24
$111,020
$49,231
2.3× st 2.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
23
$18,941
$11,142
1.7× st 2.4×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
23
$20,617
$13,664
1.5× st 2.5×
812
Red blood cell disorders without mcc
22
$22,100
$9,945
2.2× st 2.7×
309
Cardiac arrhythmia and conduction disorders with cc
22
$13,652
$8,167
1.7× st 2.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
21
$25,654
$17,493
1.5× st 2.6×
330
Major small and large bowel procedures with cc
20
$34,082
$24,317
1.4× st 2.7×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
20
$19,155
$9,414
2.0× st 2.1×
552
Medical back problems without mcc
19
$20,548
$10,717
1.9× st 2.4×
281
Acute myocardial infarction, discharged alive with cc
19
$18,578
$9,729
1.9× st 3.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
19
$71,201
$55,270
1.3× st 2.4×
389
Gastrointestinal obstruction with cc
18
$14,784
$8,776
1.7× st 2.5×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
17
$16,936
$9,831
1.7× st 2.3×
637
Diabetes with mcc
17
$24,912
$15,338
1.6× st 2.5×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
17
$21,671
$11,329
1.9× st 3.7×
194
Simple pneumonia and pleurisy with cc
17
$20,693
$9,199
2.2× st 2.4×
394
Other digestive system diagnoses with cc
17
$13,573
$10,590
1.3× st 2.6×
057
Degenerative nervous system disorders without mcc
17
$18,714
$13,597
1.4× st 2.4×
643
Endocrine disorders with mcc
16
$31,319
$17,958
1.7× st 2.5×
308
Cardiac arrhythmia and conduction disorders with mcc
16
$22,544
$13,077
1.7× st 2.6×
644
Endocrine disorders with cc
16
$14,157
$11,328
1.3× st 2.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
16
$82,042
$32,051
2.6× st 3.7×
189
Pulmonary edema and respiratory failure
16
$25,173
$13,561
1.9× st 2.3×
699
Other kidney and urinary tract diagnoses with cc
16
$13,473
$10,731
1.3× st 2.4×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
14
$82,998
$52,297
1.6× st 2.4×
202
Bronchitis and asthma with cc/mcc
14
$18,638
$10,351
1.8× st 2.3×
638
Diabetes with cc
14
$14,092
$9,427
1.5× st 2.4×
175
Pulmonary embolism with mcc or acute cor pulmonale
14
$33,699
$16,005
2.1× st 2.7×
101
Seizures without mcc
14
$20,634
$10,294
2.0× st 2.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$29,464
$22,054
1.3× st 2.6×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
13
$76,453
$49,609
1.5× st 2.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
13
$33,667
$22,645
1.5× st 3.3×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
13
$17,400
$11,380
1.5× st 2.6×
536
Fractures of hip and pelvis without mcc
13
$15,095
$8,670
1.7× st 2.2×
236
Coronary bypass without cardiac catheterization without mcc
12
$56,886
$39,281
1.4× st 2.4×
329
Major small and large bowel procedures with mcc
12
$56,345
$42,060
1.3× st 2.4×
870
Septicemia or severe sepsis with mv >96 hours
12
$98,621
$66,368
1.5× st 2.6×
191
Chronic obstructive pulmonary disease with cc
11
$11,857
$8,849
1.3× st 2.4×
149
Dysequilibrium
11
$14,576
$7,934
1.8× st 2.6×
480
Hip and femur procedures except major joint with mcc
11
$45,859
$30,405
1.5× st 2.6×