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
339
$38,796
$14,443
2.7× st 4.6×
291
Heart failure and shock with mcc
121
$28,315
$10,131
2.8× st 4.6×
193
Simple pneumonia and pleurisy with mcc
92
$33,010
$10,375
3.2× st 5.0×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
75
$87,658
$14,262
6.1× st 7.0×
683
Renal failure with cc
62
$14,973
$7,293
2.1× st 4.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
62
$19,170
$8,478
2.3× st 4.5×
177
Respiratory infections and inflammations with mcc
60
$42,333
$12,871
3.3× st 4.6×
189
Pulmonary edema and respiratory failure
56
$32,731
$10,002
3.3× st 5.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
49
$12,580
$6,519
1.9× st 4.0×
481
Hip and femur procedures except major joint with cc
49
$76,961
$15,921
4.8× st 4.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
46
$25,574
$10,414
2.5× st 4.1×
682
Renal failure with mcc
42
$31,111
$11,788
2.6× st 4.6×
309
Cardiac arrhythmia and conduction disorders with cc
39
$12,596
$6,223
2.0× st 4.4×
690
Kidney and urinary tract infections without mcc
39
$15,348
$7,008
2.2× st 4.1×
689
Kidney and urinary tract infections with mcc
36
$20,580
$9,375
2.2× st 4.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
31
$15,257
$8,291
1.8× st 5.2×
280
Acute myocardial infarction, discharged alive with mcc
30
$28,700
$11,710
2.5× st 4.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
28
$12,601
$6,643
1.9× st 5.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
27
$126,519
$35,114
3.6× st 4.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
26
$82,980
$16,464
5.0× st 4.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
26
$11,630
$4,822
2.4× st 4.1×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
25
$73,871
$13,791
5.4× st 8.6×
190
Chronic obstructive pulmonary disease with mcc
25
$30,133
$8,188
3.7× st 5.9×
389
Gastrointestinal obstruction with cc
23
$10,500
$6,622
1.6× st 4.7×
480
Hip and femur procedures except major joint with mcc
21
$83,063
$21,402
3.9× st 4.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
21
$27,668
$16,374
1.7× st 4.7×
308
Cardiac arrhythmia and conduction disorders with mcc
21
$22,877
$9,603
2.4× st 4.9×
312
Syncope and collapse
20
$18,799
$7,255
2.6× st 4.6×
637
Diabetes with mcc
19
$21,155
$10,938
1.9× st 3.9×
330
Major small and large bowel procedures with cc
19
$70,681
$18,583
3.8× st 4.1×
194
Simple pneumonia and pleurisy with cc
17
$21,301
$6,975
3.1× st 5.2×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
17
$46,601
$16,691
2.8× st 4.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
16
$28,927
$8,691
3.3× st 6.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
16
$116,658
$23,569
5.0× st 7.5×
329
Major small and large bowel procedures with mcc
16
$137,295
$35,139
3.9× st 4.7×
638
Diabetes with cc
15
$15,235
$7,486
2.0× st 3.8×
698
Other kidney and urinary tract diagnoses with mcc
15
$19,139
$12,096
1.6× st 4.1×
305
Hypertension without mcc
14
$12,257
$6,284
2.0× st 5.0×
536
Fractures of hip and pelvis without mcc
14
$12,738
$6,449
2.0× st 3.7×
521
Hip replacement with principal diagnosis of hip fracture with mcc
14
$98,592
$21,775
4.5× st 4.0×
175
Pulmonary embolism with mcc or acute cor pulmonale
14
$34,192
$10,931
3.1× st 4.0×
243
Permanent cardiac pacemaker implant with cc
13
$66,509
$17,189
3.9× st 5.4×
884
Organic disturbances and intellectual disability
13
$27,220
$12,799
2.1× st 3.5×
552
Medical back problems without mcc
13
$12,190
$7,815
1.6× st 4.0×
300
Peripheral vascular disorders with cc
13
$23,140
$8,410
2.8× st 3.2×
101
Seizures without mcc
12
$14,638
$7,590
1.9× st 4.1×
418
Laparoscopic cholecystectomy without c.d.e. with cc
12
$60,905
$12,643
4.8× st 5.3×
812
Red blood cell disorders without mcc
12
$20,345
$7,416
2.7× st 3.9×
372
Major gastrointestinal disorders and peritoneal infections with cc
11
$22,401
$9,029
2.5× st 4.2×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
11
$16,118
$7,350
2.2× st 3.5×
069
Transient ischemia without thrombolytic
11
$13,110
$6,635
2.0× st 5.3×
271
Other major cardiovascular procedures with cc
11
$144,924
$25,724
5.6× st 4.7×