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
120
$32,062
$15,997
2.0× st 2.3×
291
Heart failure and shock with mcc
118
$19,595
$10,375
1.9× st 2.3×
193
Simple pneumonia and pleurisy with mcc
88
$25,400
$11,372
2.2× st 2.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
80
$24,248
$15,691
1.5× st 2.4×
177
Respiratory infections and inflammations with mcc
77
$28,614
$13,399
2.1× st 2.3×
690
Kidney and urinary tract infections without mcc
53
$12,803
$6,661
1.9× st 2.4×
190
Chronic obstructive pulmonary disease with mcc
53
$18,582
$8,981
2.1× st 2.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
46
$15,609
$6,578
2.4× st 2.5×
280
Acute myocardial infarction, discharged alive with mcc
46
$25,967
$12,106
2.1× st 2.5×
689
Kidney and urinary tract infections with mcc
41
$13,817
$9,138
1.5× st 2.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
37
$11,551
$6,458
1.8× st 2.4×
312
Syncope and collapse
35
$12,694
$7,221
1.8× st 2.6×
552
Medical back problems without mcc
34
$13,345
$7,579
1.8× st 2.4×
378
Gastrointestinal hemorrhage with cc
33
$17,447
$8,025
2.2× st 2.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
33
$15,399
$8,707
1.8× st 2.4×
194
Simple pneumonia and pleurisy with cc
31
$15,707
$7,218
2.2× st 2.4×
309
Cardiac arrhythmia and conduction disorders with cc
29
$12,931
$6,258
2.1× st 2.5×
682
Renal failure with mcc
28
$21,631
$11,739
1.8× st 2.3×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
25
$13,109
$7,381
1.8× st 2.3×
178
Respiratory infections and inflammations with cc
25
$14,996
$8,211
1.8× st 2.6×
191
Chronic obstructive pulmonary disease with cc
25
$17,470
$7,010
2.5× st 2.4×
812
Red blood cell disorders without mcc
23
$16,575
$7,580
2.2× st 2.7×
389
Gastrointestinal obstruction with cc
23
$11,887
$6,406
1.9× st 2.5×
683
Renal failure with cc
23
$12,252
$7,266
1.7× st 2.2×
603
Cellulitis without mcc
21
$10,888
$7,054
1.5× st 2.1×
189
Pulmonary edema and respiratory failure
19
$22,594
$10,342
2.2× st 2.3×
948
Signs and symptoms without mcc
18
$14,116
$6,609
2.1× st 3.1×
313
Chest pain
18
$14,695
$6,049
2.4× st 3.0×
308
Cardiac arrhythmia and conduction disorders with mcc
17
$21,817
$10,444
2.1× st 2.6×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
17
$16,942
$9,023
1.9× st 2.6×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
16
$15,824
$6,260
2.5× st 2.8×
377
Gastrointestinal hemorrhage with mcc
15
$27,306
$14,743
1.9× st 2.7×
481
Hip and femur procedures except major joint with cc
15
$33,380
$16,521
2.0× st 2.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
15
$18,500
$8,377
2.2× st 2.8×
698
Other kidney and urinary tract diagnoses with mcc
14
$28,134
$13,423
2.1× st 2.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
14
$15,581
$9,842
1.6× st 2.4×
057
Degenerative nervous system disorders without mcc
14
$19,242
$10,854
1.8× st 2.4×
195
Simple pneumonia and pleurisy without cc/mcc
14
$12,629
$5,652
2.2× st 2.6×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
13
$9,557
$4,712
2.0× st 2.5×
315
Other circulatory system diagnoses with cc
13
$19,199
$7,937
2.4× st 3.1×
281
Acute myocardial infarction, discharged alive with cc
12
$18,203
$7,441
2.4× st 3.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
12
$16,493
$10,543
1.6× st 2.5×
394
Other digestive system diagnoses with cc
12
$13,156
$7,803
1.7× st 2.6×
480
Hip and femur procedures except major joint with mcc
12
$46,683
$25,288
1.8× st 2.6×
522
Hip replacement with principal diagnosis of hip fracture without mcc
12
$32,514
$16,846
1.9× st 2.6×
536
Fractures of hip and pelvis without mcc
12
$13,701
$6,293
2.2× st 2.2×
644
Endocrine disorders with cc
11
$15,280
$8,646
1.8× st 2.2×
811
Red blood cell disorders with mcc
11
$19,362
$11,579
1.7× st 2.6×
184
Major chest trauma with cc
11
$18,468
$8,843
2.1× st 2.6×
179
Respiratory infections and inflammations without cc/mcc
11
$17,218
$6,335
2.7× st 2.6×