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
$59,766
$16,214
3.7× st 3.2×
274
Percutaneous and other intracardiac procedures without mcc
101
$102,210
$26,420
3.9× st 3.3×
280
Acute myocardial infarction, discharged alive with mcc
93
$46,416
$13,561
3.4× st 3.5×
291
Heart failure and shock with mcc
91
$36,589
$11,476
3.2× st 3.1×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
61
$88,667
$24,811
3.6× st 4.3×
193
Simple pneumonia and pleurisy with mcc
45
$40,694
$11,239
3.6× st 3.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
39
$70,550
$17,092
4.1× st 3.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
37
$65,862
$15,210
4.3× st 4.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
36
$45,003
$9,171
4.9× st 3.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
36
$149,472
$36,498
4.1× st 3.2×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
31
$134,208
$49,549
2.7× st 3.7×
377
Gastrointestinal hemorrhage with mcc
31
$46,107
$16,051
2.9× st 3.4×
189
Pulmonary edema and respiratory failure
29
$43,429
$11,516
3.8× st 3.3×
281
Acute myocardial infarction, discharged alive with cc
27
$35,576
$8,485
4.2× st 3.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
26
$36,231
$9,759
3.7× st 3.2×
682
Renal failure with mcc
24
$52,502
$12,764
4.1× st 3.1×
378
Gastrointestinal hemorrhage with cc
24
$31,441
$8,708
3.6× st 3.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
24
$42,751
$11,842
3.6× st 3.2×
242
Permanent cardiac pacemaker implant with mcc
22
$102,757
$28,222
3.6× st 4.0×
481
Hip and femur procedures except major joint with cc
20
$76,597
$18,657
4.1× st 3.9×
243
Permanent cardiac pacemaker implant with cc
20
$67,362
$19,575
3.4× st 3.8×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
20
$47,861
$9,829
4.9× st 4.0×
177
Respiratory infections and inflammations with mcc
19
$39,311
$13,807
2.8× st 3.1×
683
Renal failure with cc
17
$28,899
$8,469
3.4× st 3.2×
309
Cardiac arrhythmia and conduction disorders with cc
17
$21,580
$7,048
3.1× st 3.5×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
16
$232,530
$64,805
3.6× st 3.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
15
$58,518
$20,184
2.9× st 3.1×
312
Syncope and collapse
15
$23,778
$7,666
3.1× st 3.5×
235
Coronary bypass without cardiac catheterization with mcc
15
$192,218
$43,634
4.4× st 3.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
13
$32,935
$7,407
4.4× st 3.5×
308
Cardiac arrhythmia and conduction disorders with mcc
13
$34,360
$10,847
3.2× st 3.6×
036
Carotid artery stent procedures without cc/mcc
13
$61,564
$14,955
4.1× st 3.3×
208
Respiratory system diagnosis with ventilator support <=96 hours
12
$103,089
$22,866
4.5× st 3.5×
175
Pulmonary embolism with mcc or acute cor pulmonale
12
$35,657
$12,160
2.9× st 3.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
12
$76,821
$17,166
4.5× st 3.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
12
$68,308
$17,508
3.9× st 3.9×
253
Other vascular procedures with cc
12
$84,582
$21,025
4.0× st 3.7×
194
Simple pneumonia and pleurisy with cc
11
$24,558
$7,782
3.2× st 3.2×
163
Major chest procedures with mcc
11
$114,706
$38,493
3.0× st 3.2×
698
Other kidney and urinary tract diagnoses with mcc
11
$57,939
$14,553
4.0× st 3.1×
035
Carotid artery stent procedures with cc
11
$73,449
$18,797
3.9× st 3.1×