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
302
$150,568
$14,547
10.4× st 4.6×
885
Psychoses
148
$33,199
$10,157
3.3× st 2.4×
177
Respiratory infections and inflammations with mcc
140
$138,491
$12,031
11.5× st 4.5×
291
Heart failure and shock with mcc
136
$82,879
$9,334
8.9× st 4.4×
193
Simple pneumonia and pleurisy with mcc
61
$97,878
$9,580
10.2× st 4.5×
689
Kidney and urinary tract infections with mcc
52
$76,882
$8,550
9.0× st 4.5×
190
Chronic obstructive pulmonary disease with mcc
47
$118,484
$8,188
14.5× st 5.1×
698
Other kidney and urinary tract diagnoses with mcc
44
$174,281
$14,492
12.0× st 4.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
39
$82,940
$7,683
10.8× st 4.6×
682
Renal failure with mcc
38
$100,999
$10,725
9.4× st 4.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
35
$89,027
$9,245
9.6× st 4.4×
178
Respiratory infections and inflammations with cc
31
$102,225
$7,444
13.7× st 5.0×
690
Kidney and urinary tract infections without mcc
30
$57,806
$6,148
9.4× st 4.5×
683
Renal failure with cc
29
$58,802
$6,738
8.7× st 4.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
28
$71,126
$6,132
11.6× st 4.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
28
$214,211
$13,022
16.5× st 6.6×
189
Pulmonary edema and respiratory failure
28
$118,381
$9,176
12.9× st 5.1×
377
Gastrointestinal hemorrhage with mcc
27
$129,759
$12,725
10.2× st 4.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
26
$61,868
$5,982
10.3× st 4.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
26
$64,504
$7,585
8.5× st 5.6×
280
Acute myocardial infarction, discharged alive with mcc
26
$132,490
$11,421
11.6× st 4.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
25
$111,294
$13,998
8.0× st 4.9×
378
Gastrointestinal hemorrhage with cc
24
$80,125
$7,348
10.9× st 4.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
23
$372,319
$36,692
10.1× st 4.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
22
$197,236
$15,764
12.5× st 4.9×
309
Cardiac arrhythmia and conduction disorders with cc
21
$55,417
$5,686
9.7× st 4.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
20
$334,725
$19,685
17.0× st 5.9×
069
Transient ischemia without thrombolytic
19
$74,872
$6,223
12.0× st 5.9×
481
Hip and femur procedures except major joint with cc
19
$232,803
$13,750
16.9× st 4.9×
308
Cardiac arrhythmia and conduction disorders with mcc
17
$155,627
$10,942
14.2× st 5.0×
194
Simple pneumonia and pleurisy with cc
16
$57,425
$6,238
9.2× st 4.5×
101
Seizures without mcc
16
$64,950
$6,868
9.5× st 4.9×
312
Syncope and collapse
16
$58,233
$6,169
9.4× st 5.3×
870
Septicemia or severe sepsis with mv >96 hours
15
$416,546
$48,784
8.5× st 4.5×
603
Cellulitis without mcc
15
$62,256
$6,644
9.4× st 4.0×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$304,471
$18,126
16.8× st 4.6×
637
Diabetes with mcc
14
$96,651
$10,549
9.2× st 4.4×
281
Acute myocardial infarction, discharged alive with cc
13
$69,125
$6,796
10.2× st 5.7×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
13
$108,648
$7,935
13.7× st 5.7×
638
Diabetes with cc
13
$76,080
$6,777
11.2× st 4.4×
315
Other circulatory system diagnoses with cc
13
$71,201
$6,673
10.7× st 4.9×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
12
$63,252
$5,329
11.9× st 5.9×
313
Chest pain
12
$43,343
$5,569
7.8× st 5.6×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
12
$38,291
$4,445
8.6× st 4.6×
699
Other kidney and urinary tract diagnoses with cc
12
$74,299
$7,477
9.9× st 4.2×
372
Major gastrointestinal disorders and peritoneal infections with cc
12
$93,702
$7,755
12.1× st 4.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
11
$154,057
$9,259
16.6× st 4.6×
389
Gastrointestinal obstruction with cc
11
$69,835
$6,041
11.6× st 4.6×
393
Other digestive system diagnoses with mcc
11
$88,524
$11,580
7.6× st 3.8×
418
Laparoscopic cholecystectomy without c.d.e. with cc
11
$239,802
$11,815
20.3× st 5.5×
292
Heart failure and shock with cc
11
$47,050
$6,496
7.2× st 4.8×