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
170
$52,946
$15,613
3.4× st 3.2×
280
Acute myocardial infarction, discharged alive with mcc
152
$52,184
$12,803
4.1× st 3.5×
291
Heart failure and shock with mcc
125
$39,381
$10,299
3.8× st 3.1×
189
Pulmonary edema and respiratory failure
83
$48,348
$10,455
4.6× st 3.3×
193
Simple pneumonia and pleurisy with mcc
62
$40,750
$10,540
3.9× st 3.1×
190
Chronic obstructive pulmonary disease with mcc
52
$38,043
$9,227
4.1× st 3.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
51
$23,243
$6,982
3.3× st 3.5×
177
Respiratory infections and inflammations with mcc
47
$43,097
$13,089
3.3× st 3.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
47
$31,412
$8,760
3.6× st 3.2×
281
Acute myocardial infarction, discharged alive with cc
44
$28,924
$7,599
3.8× st 3.8×
689
Kidney and urinary tract infections with mcc
39
$28,785
$9,604
3.0× st 3.1×
552
Medical back problems without mcc
38
$34,598
$7,890
4.4× st 3.5×
682
Renal failure with mcc
36
$36,107
$11,896
3.0× st 3.1×
309
Cardiac arrhythmia and conduction disorders with cc
34
$25,717
$6,332
4.1× st 3.5×
690
Kidney and urinary tract infections without mcc
33
$22,100
$6,593
3.4× st 3.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
32
$28,411
$6,682
4.3× st 3.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
32
$40,509
$10,724
3.8× st 3.2×
092
Other disorders of nervous system with cc
30
$31,802
$8,078
3.9× st 3.5×
698
Other kidney and urinary tract diagnoses with mcc
29
$51,600
$13,074
3.9× st 3.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
28
$36,292
$8,952
4.1× st 3.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
27
$99,497
$34,943
2.8× st 3.2×
378
Gastrointestinal hemorrhage with cc
27
$36,762
$8,198
4.5× st 3.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
27
$70,599
$16,488
4.3× st 4.7×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
26
$28,099
$10,385
2.7× st 3.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
26
$53,821
$15,443
3.5× st 3.6×
683
Renal failure with cc
24
$24,660
$8,027
3.1× st 3.2×
312
Syncope and collapse
23
$31,204
$7,076
4.4× st 3.5×
638
Diabetes with cc
18
$19,632
$7,404
2.7× st 3.2×
101
Seizures without mcc
18
$23,540
$7,352
3.2× st 3.3×
308
Cardiac arrhythmia and conduction disorders with mcc
18
$38,297
$10,279
3.7× st 3.6×
811
Red blood cell disorders with mcc
17
$50,765
$11,284
4.5× st 3.3×
191
Chronic obstructive pulmonary disease with cc
17
$22,630
$6,809
3.3× st 3.4×
637
Diabetes with mcc
17
$37,171
$11,372
3.3× st 3.1×
208
Respiratory system diagnosis with ventilator support <=96 hours
16
$72,697
$19,875
3.7× st 3.5×
389
Gastrointestinal obstruction with cc
16
$21,141
$6,471
3.3× st 3.2×
603
Cellulitis without mcc
16
$18,695
$7,175
2.6× st 2.8×
948
Signs and symptoms without mcc
15
$28,812
$7,392
3.9× st 3.3×
178
Respiratory infections and inflammations with cc
15
$26,152
$7,752
3.4× st 3.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
15
$79,214
$23,776
3.3× st 4.3×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
15
$22,799
$6,595
3.5× st 3.4×
377
Gastrointestinal hemorrhage with mcc
15
$40,948
$13,686
3.0× st 3.4×
300
Peripheral vascular disorders with cc
15
$26,580
$9,250
2.9× st 3.0×
394
Other digestive system diagnoses with cc
15
$34,688
$7,847
4.4× st 3.3×
481
Hip and femur procedures except major joint with cc
14
$53,015
$15,278
3.5× st 3.9×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
14
$53,721
$16,325
3.3× st 3.1×
194
Simple pneumonia and pleurisy with cc
14
$24,757
$7,788
3.2× st 3.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$55,681
$16,590
3.4× st 3.9×
812
Red blood cell disorders without mcc
13
$31,567
$8,566
3.7× st 3.4×
454
Combined anterior and posterior spinal fusion with cc
13
$125,553
$45,269
2.8× st 2.9×
069
Transient ischemia without thrombolytic
13
$31,508
$7,111
4.4× st 4.2×
149
Dysequilibrium
13
$26,175
$6,227
4.2× st 4.1×
884
Organic disturbances and intellectual disability
13
$39,398
$12,553
3.1× st 2.4×
870
Septicemia or severe sepsis with mv >96 hours
12
$166,626
$50,426
3.3× st 3.3×
917
Poisoning and toxic effects of drugs with mcc
11
$42,045
$14,645
2.9× st 3.0×
207
Respiratory system diagnosis with ventilator support >96 hours
11
$172,672
$48,576
3.6× st 3.1×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
11
$112,568
$36,482
3.1× st 3.4×