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
210
$51,208
$11,079
4.6× st 4.4×
871
Septicemia or severe sepsis without mv >96 hours with mcc
194
$78,638
$15,360
5.1× st 4.6×
177
Respiratory infections and inflammations with mcc
53
$62,053
$13,237
4.7× st 4.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
36
$29,290
$7,731
3.8× st 4.8×
683
Renal failure with cc
36
$33,157
$8,217
4.0× st 4.5×
193
Simple pneumonia and pleurisy with mcc
36
$51,670
$11,385
4.5× st 4.5×
190
Chronic obstructive pulmonary disease with mcc
36
$49,640
$9,791
5.1× st 5.1×
274
Percutaneous and other intracardiac procedures without mcc
36
$101,045
$24,666
4.1× st 5.2×
378
Gastrointestinal hemorrhage with cc
36
$35,742
$9,123
3.9× st 4.7×
812
Red blood cell disorders without mcc
35
$33,638
$9,598
3.5× st 4.3×
377
Gastrointestinal hemorrhage with mcc
35
$63,977
$14,930
4.3× st 4.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
34
$48,665
$10,620
4.6× st 4.4×
682
Renal failure with mcc
33
$57,397
$12,599
4.6× st 4.4×
638
Diabetes with cc
33
$31,790
$8,427
3.8× st 4.4×
690
Kidney and urinary tract infections without mcc
30
$30,947
$8,295
3.7× st 4.5×
189
Pulmonary edema and respiratory failure
29
$51,295
$10,314
5.0× st 5.1×
603
Cellulitis without mcc
29
$34,881
$8,350
4.2× st 4.0×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
28
$68,045
$17,529
3.9× st 6.6×
308
Cardiac arrhythmia and conduction disorders with mcc
27
$47,326
$10,829
4.4× st 5.0×
637
Diabetes with mcc
27
$54,594
$11,540
4.7× st 4.4×
309
Cardiac arrhythmia and conduction disorders with cc
26
$35,605
$7,404
4.8× st 4.7×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
26
$90,550
$17,493
5.2× st 4.9×
689
Kidney and urinary tract infections with mcc
24
$43,047
$10,364
4.2× st 4.5×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
23
$173,055
$36,167
4.8× st 4.8×
870
Septicemia or severe sepsis with mv >96 hours
23
$253,480
$51,416
4.9× st 4.5×
312
Syncope and collapse
22
$32,262
$8,190
3.9× st 5.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
22
$148,578
$38,791
3.8× st 4.4×
101
Seizures without mcc
22
$27,424
$9,368
2.9× st 4.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
22
$46,205
$10,981
4.2× st 4.6×
698
Other kidney and urinary tract diagnoses with mcc
22
$50,637
$12,339
4.1× st 4.5×
235
Coronary bypass without cardiac catheterization with mcc
22
$220,077
$48,104
4.6× st 4.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
22
$28,280
$8,165
3.5× st 4.5×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
22
$286,568
$65,310
4.4× st 4.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
21
$39,444
$9,253
4.3× st 4.6×
389
Gastrointestinal obstruction with cc
21
$26,703
$7,891
3.4× st 4.6×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
20
$184,635
$44,007
4.2× st 4.8×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
19
$57,205
$14,655
3.9× st 4.5×
313
Chest pain
19
$28,580
$7,261
3.9× st 5.6×
236
Coronary bypass without cardiac catheterization without mcc
19
$180,979
$31,551
5.7× st 4.8×
280
Acute myocardial infarction, discharged alive with mcc
18
$74,275
$15,175
4.9× st 4.8×
164
Major chest procedures with cc
18
$110,008
$19,211
5.7× st 4.2×
394
Other digestive system diagnoses with cc
18
$35,663
$8,710
4.1× st 4.5×
314
Other circulatory system diagnoses with mcc
17
$109,288
$13,662
8.0× st 4.1×
178
Respiratory infections and inflammations with cc
16
$36,333
$8,783
4.1× st 5.0×
202
Bronchitis and asthma with cc/mcc
16
$27,635
$8,958
3.1× st 4.7×
069
Transient ischemia without thrombolytic
16
$37,414
$8,144
4.6× st 5.9×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
16
$117,672
$26,320
4.5× st 5.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
16
$46,756
$9,572
4.9× st 5.6×
100
Seizures with mcc
15
$43,821
$15,044
2.9× st 5.0×
064
Intracranial hemorrhage or cerebral infarction with mcc
15
$70,810
$15,128
4.7× st 4.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
14
$29,629
$6,135
4.8× st 4.6×
388
Gastrointestinal obstruction with mcc
13
$62,783
$12,371
5.1× st 4.1×
315
Other circulatory system diagnoses with cc
13
$33,516
$8,821
3.8× st 4.9×
191
Chronic obstructive pulmonary disease with cc
12
$38,407
$9,097
4.2× st 4.7×
149
Dysequilibrium
12
$34,714
$7,448
4.7× st 5.3×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$50,166
$11,856
4.2× st 4.6×
329
Major small and large bowel procedures with mcc
11
$145,666
$35,911
4.1× st 4.5×
208
Respiratory system diagnosis with ventilator support <=96 hours
11
$71,913
$20,414
3.5× st 5.1×