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
291
Heart failure and shock with mcc
256
$17,022
$11,441
1.5× st 2.3×
871
Septicemia or severe sepsis without mv >96 hours with mcc
217
$28,488
$17,139
1.7× st 2.3×
177
Respiratory infections and inflammations with mcc
98
$24,212
$14,505
1.7× st 2.3×
193
Simple pneumonia and pleurisy with mcc
98
$19,279
$12,259
1.6× st 2.2×
683
Renal failure with cc
69
$14,838
$8,107
1.8× st 2.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
66
$13,100
$7,316
1.8× st 2.5×
190
Chronic obstructive pulmonary disease with mcc
66
$18,879
$9,849
1.9× st 2.2×
312
Syncope and collapse
63
$21,953
$8,381
2.6× st 2.6×
194
Simple pneumonia and pleurisy with cc
62
$13,754
$7,709
1.8× st 2.4×
690
Kidney and urinary tract infections without mcc
60
$14,393
$7,364
2.0× st 2.4×
309
Cardiac arrhythmia and conduction disorders with cc
54
$10,522
$6,879
1.5× st 2.5×
689
Kidney and urinary tract infections with mcc
49
$16,887
$10,098
1.7× st 2.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
48
$16,131
$9,708
1.7× st 2.4×
280
Acute myocardial infarction, discharged alive with mcc
47
$17,442
$14,019
1.2× st 2.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
45
$12,102
$7,481
1.6× st 2.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
43
$20,470
$9,091
2.3× st 2.8×
178
Respiratory infections and inflammations with cc
39
$16,938
$9,137
1.9× st 2.6×
281
Acute myocardial infarction, discharged alive with cc
37
$15,234
$8,202
1.9× st 3.2×
378
Gastrointestinal hemorrhage with cc
36
$17,669
$8,753
2.0× st 2.6×
638
Diabetes with cc
36
$13,280
$8,417
1.6× st 2.4×
603
Cellulitis without mcc
34
$11,416
$8,353
1.4× st 2.1×
377
Gastrointestinal hemorrhage with mcc
33
$29,509
$16,149
1.8× st 2.7×
308
Cardiac arrhythmia and conduction disorders with mcc
33
$17,092
$11,004
1.6× st 2.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
33
$18,974
$11,427
1.7× st 2.5×
698
Other kidney and urinary tract diagnoses with mcc
32
$21,267
$14,290
1.5× st 2.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
31
$19,778
$11,543
1.7× st 2.4×
682
Renal failure with mcc
30
$22,353
$13,534
1.7× st 2.3×
481
Hip and femur procedures except major joint with cc
27
$34,714
$17,697
2.0× st 2.7×
191
Chronic obstructive pulmonary disease with cc
26
$19,579
$8,159
2.4× st 2.4×
389
Gastrointestinal obstruction with cc
25
$19,260
$8,238
2.3× st 2.5×
552
Medical back problems without mcc
24
$19,616
$8,557
2.3× st 2.4×
637
Diabetes with mcc
23
$20,016
$12,297
1.6× st 2.5×
699
Other kidney and urinary tract diagnoses with cc
23
$12,420
$9,404
1.3× st 2.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
21
$72,742
$17,819
4.1× st 4.0×
313
Chest pain
21
$15,200
$6,625
2.3× st 3.0×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
21
$17,972
$8,320
2.2× st 2.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
21
$65,987
$40,718
1.6× st 2.4×
390
Gastrointestinal obstruction without cc/mcc
19
$11,583
$5,402
2.1× st 2.4×
812
Red blood cell disorders without mcc
18
$17,888
$8,338
2.1× st 2.7×
149
Dysequilibrium
16
$18,864
$6,875
2.7× st 2.6×
202
Bronchitis and asthma with cc/mcc
15
$15,216
$9,003
1.7× st 2.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
15
$24,543
$15,551
1.6× st 2.6×
536
Fractures of hip and pelvis without mcc
15
$13,084
$6,538
2.0× st 2.2×
480
Hip and femur procedures except major joint with mcc
14
$52,677
$28,946
1.8× st 2.6×
439
Disorders of pancreas except malignancy with cc
14
$12,378
$7,776
1.6× st 2.6×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
14
$15,595
$8,241
1.9× st 2.1×
300
Peripheral vascular disorders with cc
14
$13,780
$9,643
1.4× st 2.3×
176
Pulmonary embolism without mcc
13
$12,821
$7,490
1.7× st 2.8×
189
Pulmonary edema and respiratory failure
13
$23,711
$13,485
1.8× st 2.3×
917
Poisoning and toxic effects of drugs with mcc
13
$21,332
$15,328
1.4× st 2.7×
948
Signs and symptoms without mcc
13
$13,749
$6,673
2.1× st 3.1×
478
Biopsies of musculoskeletal system and connective tissue with cc
13
$73,947
$18,301
4.0× st 2.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
13
$9,361
$5,279
1.8× st 2.5×
329
Major small and large bowel procedures with mcc
13
$105,816
$53,277
2.0× st 2.4×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
12
$30,803
$11,136
2.8× st 3.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
12
$31,905
$17,764
1.8× st 2.6×
564
Other musculoskeletal system and connective tissue diagnoses with mcc
12
$22,730
$14,449
1.6× st 2.7×
602
Cellulitis with mcc
12
$31,709
$14,123
2.2× st 2.4×
330
Major small and large bowel procedures with cc
12
$45,622
$20,611
2.2× st 2.7×
811
Red blood cell disorders with mcc
12
$19,387
$13,126
1.5× st 2.6×
208
Respiratory system diagnosis with ventilator support <=96 hours
12
$50,358
$26,050
1.9× st 2.9×
101
Seizures without mcc
11
$16,695
$8,670
1.9× st 2.9×
305
Hypertension without mcc
11
$12,969
$7,048
1.8× st 2.5×
282
Acute myocardial infarction, discharged alive without cc/mcc
11
$15,359
$6,536
2.4× st 3.1×